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1003550518
MICHELLE RENETA ORTIZ
VALLEJO, CA
NPI
1003550518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA R1443050821)
Enumeration Date
2022-04-21
Last Update Date
2022-04-21
Business Address
MICHELLE RENETA ORTIZ
126 OHIO ST
VALLEJO, CA 94590-5049
Phone number: 415-707-2577
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Mailing Address
MICHELLE RENETA ORTIZ
126 OHIO ST
VALLEJO, CA 94590-5049
Phone number: 707-644-2577
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