| Jessica Marie Ortiz, | |
|
1313 W Ferguson Ave, Blackwell, OK 74631-5604 | |
| (580) 789-3100 | |
| Not Available |
| Full Name | Jessica Marie Ortiz |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 1313 W Ferguson Ave, Blackwell, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508404740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 1392 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Marie Ortiz, 1313 W Ferguson Ave, Blackwell, OK 74631-5604 Ph: (580) 789-3100 | Jessica Marie Ortiz, 1313 W Ferguson Ave, Blackwell, OK 74631-5604 Ph: (580) 789-3100 |
Tammy Lynn Mayden, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 N 3rd St, Blackwell, OK 74631 Phone: 580-363-7509 | |
James Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1608 Country Rd, Blackwell, OK 74631 Phone: 580-363-0088 Fax: 580-363-1963 | |
Marya Allen, LMLP, LMAC, LBP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1313 W Ferguson Ave, Blackwell, OK 74631 Phone: 580-363-4400 |