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Alisa Addele Ontiveros
Mental Health Counselor in Riverside, California
NPI 1134776768

Alisa Addele Ontiveros is a Mental Health Counselor based in Riverside, CA and is specialized in Mental Health. Alisa Addele Ontiveros practices in Riverside, CA. The NPI Number for Alisa Addele Ontiveros is 1134776768 and holds a License No. (California).

The current practice location address for Alisa Addele Ontiveros is 1405 Spruce St Ste A, Riverside, CA and can be reached out via phone at 951-715-5050.

Location: 1405 Spruce St Ste A, Riverside, CA, 92507-2410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134776768
Provider Name
Alisa Addele Ontiveros
Credential
Provider Entity Type
Individual
Gender
Female
Address
1405 Spruce St Ste A, Riverside, CA, 92507-2410
Phone Number
951-715-5050
Fax Number
Provider Enumeration Date
08/19/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1405 Spruce St Ste A
City
Riverside
State
California
Zip
92507-2410
Phone Number
951-715-5050
Fax Number
person
Provider Business Mailing Address Details
Address
1405 Spruce St Ste A
City
Riverside
State
California
Zip
92507-2410
Phone Number
951-715-5050
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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