| Rachael Ortiz,llc | |
|
45 S Main St Suite 300 West Hartford CT 06107-2441 | |
| (860) 729-4824 | |
| Not Available |
| Full Name | Rachael Ortiz,llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 45 S Main St, West Hartford, Connecticut |
| Authorized Official Name and Position | Rachael Ortiz (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 8607294824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rachael Ortiz,llc 45 S Main St Suite 300 West Hartford CT 06107-2441 Ph: () - | Rachael Ortiz,llc 45 S Main St Suite 300 West Hartford CT 06107-2441 Ph: (860) 729-4824 |
| NPI Number | 1386189140 |
|---|---|
| Provider Enumeration Date | 01/03/2017 |
| Last Update Date | 01/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386189140 | NPI | - | NPPES |
| 00804882 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 001629 (Connecticut) | Primary |
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