ERIC ONTIVEROS

RIVERSIDE, CA
NPI1194013193
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCSW73802)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2011-07-12
Last Update Date2017-04-03
Business Address
Mr. ERIC ONTIVEROS
769 BLAINE STREET STE. B
RIVERSIDE, CA 92507
Phone number: 951-358-4705
Mailing Address
Mr. ERIC ONTIVEROS
769 BLAINE STREET. STE. B
RIVERSIDE, CA 92507
Phone number: