(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003543653
Provider Name: CLARISSA ADRIANA ORTEGA SUDRC
Entity Type: Individual
Taxonomy Code: 101YA0400X
Specialty: Counselor
License Number: 13468
Most Important Dates
Enumeration Date: 08/03/2022
Last Updated: 08/03/2022
Provider Practice Location
2035 FAIRMONT DR
SAN LEANDRO
CA
945781088
Practice Location Phone/Fax
Phone: 5103463836
Fax:
Provider Mailing Location
2035 FAIRMONT DR
SAN LEANDRO
CA
945781088
Provider Mailing Phone/Fax
Phone: 5103467836
Fax: