Jesus Ontiveroz

NPI #1659815801 in Ecorse, Michigan

Provider Information

NPI Number: 1659815801
Entity Type: Individual
Name: Jesus Ontiveroz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Dec 7, 2016
Last Updated: Dec 7, 2016

Practice Location

Address: 4646 W JEFFERSON AVE
City: Ecorse
State: Michigan
ZIP Code: 48229-1418
Phone: (313) 622-9827

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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