Individual provider · Type 1 NPI

Diane C. Ortiz, LADAC

Addiction (Substance Use Disorder) Counselor · Espanola, NM

NPI number 1366675852 Active

Practice location

612 N Paseo De Onate
Espanola, NM 87532-2963

Call (505) 753-2203 Map

Fax (505) 747-1881

Mailing address

PO Box 520, 612 N. Paseo De Onate
Espanola, NM 87532-0520

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0119851 (NM)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1366675852

Diane C. Ortiz, LADAC's National Provider Identifier is 1366675852, issued on Aug 31, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Espanola, NM. The record was last updated on Sep 2, 2009.