Individual
KELLY CATHERINE ONTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED MARRIAGE &
Contact information
Practice address
8666 E. SAN ALBERTO DRIVE, SCOTTSDALE, AZ 85258
(602) 544-6044
Mailing address
2563 S VAL VISTA DR STE 108, GILBERT, AZ 85295-6231
(602) 690-8021
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LAMFT-5807T
AZ
Other
Enumeration date
11/08/2017
Last updated
08/06/2019
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