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CRYSTAL CELESTE ORTIZ

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1841664141

Individual Registrant:
 CRYSTAL CELESTE ORTIZ 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
311 E MERCED ST  FOWLER, CA 93625-2316 US
Tel: 555-892-9452  Fax: --

Contact information for business:
316 E SPRUCE AVE  LEMOORE, CA 93245-2053 US
Tel: 559-205-4035  Fax: --

Registration Information:
NPI: 1841664141
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N390200000XStudent
Organized Health Care Education/Training Program
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
CA3997
N101Y00000XBehavioral Health & Social Service Providers
Counselor
CA3997

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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