MR. Johnny A Cortinez, LCSW

NPI #1285903096 in Poplar Bluff, Missouri

Provider Information

NPI Number: 1285903096
Entity Type: Individual
Name: MR. Johnny A Cortinez, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Dec 22, 2011
Last Updated: Sep 1, 2020

Practice Location

Address: 1500 N WESTWOOD BLVD
City: Poplar Bluff
State: Missouri
ZIP Code: 63901-3318
Phone: (573) 778-4746

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary
Social Worker	104100000X

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