Individual
MRS. THERESA ANNE ONTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, RPT
Contact information
Practice address
2435 S TELSHOR BLVD, LAS CRUCES, NM 88011-5029
(575) 323-1315
Mailing address
PO BOX 405, SAN MIGUEL, NM 88058-0405
(575) 644-9861
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C07151
NM
Other
Enumeration date
03/01/2007
Last updated
03/19/2026
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