Most Relevant Information
Provider Data
| NPI Number: | 1003004755 |
| Provider Name: | LORI M ORTIZ M.A. LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | T-0107161 |
Most Important Dates
| Enumeration Date: | 10/09/2007 |
| Last Updated: | 10/09/2007 |
Provider Practice Location
2403 SAN MATEO BLVD NE
ALBUQUERQUE
NM
871104058
Practice Location Phone/Fax
| Phone: | 5058301871 |
| Fax: |
Provider Mailing Location
PO BOX 4112
ALBUQUERQUE
NM
871964112
Provider Mailing Phone/Fax
| Phone: | 5059779777 |
| Fax: |