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General NPI Number Information
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NPI Number | 1326618760
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Entity Type | Organization
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Legal Business Name | ARIACELIZ ORTIZ COUNSELING AND CONSULTATIONS
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Dates
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Enumeration Date | 06/28/2021
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 248 LORRAINE AVENUE SUITE 14
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City | MONTCLAIR
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State | NJ
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Zip | 07043
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Country | US
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Telephone | 973-979-3399
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Fax |
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Provider Business Mailing Address
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Address Line | 248 LORRAINE AVE STE 14
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City | MONTCLAIR
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State | NJ
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Zip | 07043-1454
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Country | US
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Telephone | 973-979-3399
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. ARIACELIZ ORTIZ
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Credential | LCADC, LCSW
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Telephone | 973-979-3399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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