Individual provider · Type 1 NPI

Luis Antonio Ortiz-Theriault

Mental Health Counselor · Cypress, TX

NPI number 1710445549 Active

Practice location

11123 Mccracken Cir Ste C
Cypress, TX 77429-4461

Call (281) 653-6572 Map

Mailing address

10925 Briar Forest Dr Apt 1101
Houston, TX 77042-2215

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X76893 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1710445549

Luis Antonio Ortiz-Theriault's National Provider Identifier is 1710445549, issued on Mar 11, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cypress, TX. The record was last updated on Mar 11, 2019.