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NPI 1316832892

NPI 1316832892 : JENNA ORTIZ THERAPY : MINDEN, NV

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General NPI Number Information
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    NPI Number           |    1316832892
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    Entity Type          |    Organization 
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    Legal Business Name  |    JENNA ORTIZ THERAPY 
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Dates
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    Enumeration Date     |    06/12/2025
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    Last Update Date     |    06/12/2025
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Provider Practice Location Address
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    Address Line         |    1650 US HIGHWAY 395 N STE 103 
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    City                 |    MINDEN
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    State                |    NV
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    Zip                  |    89423-4331
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    Country              |    US
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    Telephone            |    702-606-1756
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1650 US HIGHWAY 395 N STE 103 
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    City                 |    MINDEN
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    State                |    NV
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    Zip                  |    89423-4331
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    Country              |    US
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    Telephone            |    702-606-1756
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JENNA R ORTIZ 
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    Credential           |    MFT
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    Telephone            |    702-606-1756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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