Individual provider · Type 1 NPI
Jesus Ontiveroz
Addiction (Substance Use Disorder) Counselor · Ecorse, MI
NPI number
1659815801
Active
Practice location
4646 W Jefferson Ave
Ecorse, MI 48229-1418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | C-02164 (MI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1659815801
Jesus Ontiveroz's National Provider Identifier is 1659815801, issued on Dec 7, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ecorse, MI. The record was last updated on Dec 7, 2016.