person
Miss Lourdes Theresa Ontiveros
Addiction (Substance Use Disorder) Counselor in Orange, California
NPI 1790866515

Lourdes Theresa Ontiveros is an Addiction (Substance Use Disorder) Counselor based in Orange, CA and is specialized in Addiction (Substance Use Disorder). Lourdes Theresa Ontiveros practices in Orange, CA. The NPI Number for Lourdes Theresa Ontiveros is 1790866515 and holds a License No. 5370 (California).

The current practice location address for Lourdes Theresa Ontiveros is 1095 N Main St, Orange, CA and can be reached out via phone at 714-633-0502 and via fax at 714-633-9249.

Location: 1095 N Main St, Orange, CA, 92867-5476
person
Provider Profile Details
NPI Number
1790866515
Provider Name
Lourdes Theresa Ontiveros
Credential
Provider Entity Type
Individual
Gender
Female
Address
1095 N Main St, Orange, CA, 92867-5476
Phone Number
714-633-0502
Fax Number
714-633-9249
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1095 N Main St
City
State
Zip
92867-5476
Phone Number
714-633-0502
Fax Number
714-633-9249
person
Provider Business Mailing Address Details
Address
1095 N Main St
City
State
Zip
92867-5476
Phone Number
714-633-0502
Fax Number
714-633-9249
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
5370 (California)
Definition
Definition to come...
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