Individual provider · Type 1 NPI
Keren Lei Evaristo Mortiz, LPCC
Mental Health Counselor · Fullerton, CA
NPI number
1619734035
Active
Practice location
140 E Commonwealth Ave
Fullerton, CA 92832-1905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 22015 (CA) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1619734035
Keren Lei Evaristo Mortiz, LPCC's National Provider Identifier is 1619734035, issued on Mar 4, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fullerton, CA. The record was last updated on Apr 8, 2026.