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Jessica Marie Ortiz
Counselor in Blackwell, Oklahoma
NPI 1508404740

Jessica Marie Ortiz is a Counselor based in Blackwell, OK. Jessica Marie Ortiz practices in Blackwell, OK. The NPI Number for Jessica Marie Ortiz is 1508404740 and holds a License No. 1392 (Oklahoma).

The current practice location address for Jessica Marie Ortiz is 1313 W Ferguson Ave, Blackwell, OK and can be reached out via phone at 580-789-3100.

Location: 1313 W Ferguson Ave, Blackwell, OK, 74631-5604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508404740
Provider Name
Jessica Marie Ortiz
Credential
Provider Entity Type
Individual
Gender
Female
Address
1313 W Ferguson Ave, Blackwell, OK, 74631-5604
Phone Number
580-789-3100
Fax Number
Provider Enumeration Date
12/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1313 W Ferguson Ave
City
Blackwell
State
Oklahoma
Zip
74631-5604
Phone Number
580-789-3100
Fax Number
person
Provider Business Mailing Address Details
Address
1313 W Ferguson Ave
City
Blackwell
State
Oklahoma
Zip
74631-5604
Phone Number
580-789-3100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
1392 (Oklahoma)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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