JESUS ORTEGA

TWIN FALLS, ID
NPI1407020357
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID  1146006)
Enumeration Date2008-04-22
Last Update Date2008-04-22
Business Address
-- JESUS ORTEGA CADC
762 FALLS AVE
TWIN FALLS, ID 83301-3316
Phone number: 208-734-4200
Mailing Address
-- JESUS ORTEGA CADC
605 11TH AVE E
GOODING, ID 83330-5368
Phone number: 208-934-8461
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