Provider Demographics
NPI:1922010354
Name:ORTIZ-TOWNER, MARIA (LCMFT CADC II)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:ORTIZ-TOWNER
Suffix:
Gender:F
Credentials:LCMFT CADC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 N JUDITH ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212-6911
Mailing Address - Country:US
Mailing Address - Phone:316-729-7587
Mailing Address - Fax:
Practice Address - Street 1:112 E 2ND ST N
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67202-2005
Practice Address - Country:US
Practice Address - Phone:316-262-1171
Practice Address - Fax:316-262-1191
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS270106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist