GERIANNE DALYNN ONTIVEROS

PORTALES, NM
NPI1558032318
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  T-CTL0219161)
Enumeration Date2021-09-22
Last Update Date2021-09-22
Business Address
GERIANNE DALYNN ONTIVEROS LMHC
101 W 4TH ST
PORTALES, NM 88130-6306
Phone number: 575-777-2311
Mailing Address
GERIANNE DALYNN ONTIVEROS LMHC
1814 S AVENUE A
PORTALES, NM 88130-7335
Phone number: 575-777-2311