SHANNON ONTIVEROS

GRAND ISLAND, NE
NPI1891525432
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE  P-2280)
Enumeration Date2024-08-07
Last Update Date2025-05-01
Business Address
SHANNON ONTIVEROS
406 W KOENIG ST
GRAND ISLAND, NE 68801-6516
Phone number: 308-675-3345
Mailing Address
SHANNON ONTIVEROS
707 W 1ST ST
GRAND ISLAND, NE 68801-5805
Phone number: 308-675-3345
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