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1366978124
MICHELLE ORTEGA
FAIRFIELD, CA
NPI
1366978124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 12803)
Enumeration Date
2017-05-11
Last Update Date
2022-07-14
Business Address
Mrs. MICHELLE ORTEGA SUDRC
710 MISSOURI ST
FAIRFIELD, CA 94533-6251
Phone number: 707-399-9190
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Mailing Address
Mrs. MICHELLE ORTEGA SUDRC
2100 NAPA VALLEJO HWY BLDG 253M1M2
NAPA, CA 94558-6234
Phone number: 707-255-8001
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