Individual provider · Type 1 NPI
Shannon Ontiveros
Addiction (Substance Use Disorder) Counselor · Grand Island, NE
NPI number
1891525432
Active
Practice location
406 W Koenig St
Grand Island, NE 68801-6516
Fax (308) 675-3342
Mailing address
707 W 1st St
Grand Island, NE 68801-5805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | P-2280 (NE) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1891525432
Shannon Ontiveros's National Provider Identifier is 1891525432, issued on Aug 7, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grand Island, NE. The record was last updated on May 1, 2025.