Dominic Savio Ortiz, SUDRC16296
Dominic Savio Ortiz, SUDRC16296 is an Addiction (Substance Use Disorder) Counselor in San Rafael, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
13 Peter Behr DrSan Rafael, CA 94903-5216
Phone: (415) 473-4161
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 16296 (CA) |
|---|
Record details
| NPI number | 1902672603 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SUDRC16296 |
| Sole proprietor | No |
| NPI enumerated | December 4, 2023 |
| Last updated in NPPES | December 4, 2023 |
| Certification date | December 4, 2023 |
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