Provider Demographics
NPI:1982265450
Name:OROZCO, IVANIA GUADALUPE (MFT)
Entity Type:Individual
Prefix:MRS
First Name:IVANIA
Middle Name:GUADALUPE
Last Name:OROZCO
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 DUVALL LN APT 201
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-1645
Mailing Address - Country:US
Mailing Address - Phone:240-731-2821
Mailing Address - Fax:
Practice Address - Street 1:5010 SUNNYSIDE AVE STE 201
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-2300
Practice Address - Country:US
Practice Address - Phone:301-474-0060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-25
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLMFT000231106H00000X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist