Doctor Name: | VICTORIA CORTEZ |
NPI Number: | 1033566104 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 209 E 7th St Madera, CA - 936383780 |
Business Phone Number: | 5596733508 |
Business Fax Number: | |
Mailing Address: | 4077 N Hulbert Ave, FRESNO |
State: | CA |
Postal Code: | 937051858 |
Phone Number: | 5593074185 |
Fax Number: | |
NPI Enumeration Date: | 05/19/2016 |
NPI Last Update Date: | 05/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |