person
Sandra Ortiz, ICADC
Addiction (Substance Use Disorder) Counselor in Fort Hall, Idaho
NPI 1396909024

Sandra Ortiz is an Addiction (Substance Use Disorder) Counselor based in Fort Hall, ID and is specialized in Addiction (Substance Use Disorder). Sandra Ortiz practices in Fort Hall, ID and has the professional credentials of ICADC. The NPI Number for Sandra Ortiz is 1396909024 and holds a License No. ICADC 22075 (Idaho).

The current practice location address for Sandra Ortiz is 115 Pima Drive, Fort Hall, ID and can be reached out via phone at 208-238-2400 and via fax at 208-238-5462.

Location: 115 Pima Drive, Fort Hall, ID, 83203
person
Provider Profile Details
NPI Number
1396909024
Provider Name
Sandra Ortiz
Credential
ICADC
Provider Entity Type
Individual
Gender
Female
Address
115 Pima Drive, Fort Hall, ID, 83203
Phone Number
208-238-2400
Fax Number
208-238-5462
Provider Enumeration Date
07/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003399100 05 ID
institution
Provider Business Practice Location Address Details
Address
115 Pima Drive
City
State
Zip
83203-0306
Phone Number
208-238-2400
Fax Number
208-238-5462
person
Provider Business Mailing Address Details
Address
115 Pima Drive
City
State
Zip
83203-0306
Phone Number
208-238-2400
Fax Number
208-238-5462
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
ICADC 22075 (Idaho)
Definition
Definition to come...
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