LOURDES THERESA ONTIVEROS

ORANGE, CA
NPI1790866515
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  5370)
Enumeration Date2006-10-18
Last Update Date2023-06-13
Business Address
Miss LOURDES THERESA ONTIVEROS
1095 N MAIN ST SUITE B
ORANGE, CA 92867-5476
Phone number: 714-633-0502
Mailing Address
Miss LOURDES THERESA ONTIVEROS
1095 N MAIN ST SUITE B
ORANGE, CA 92867-5476
Phone number: 714-633-0502