Individual
AGUSTIN VIEYRA ORNELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1055 W HENDERSON AVE STE 2, PORTERVILLE, CA 93257-1490
(559) 788-1200
Mailing address
1055 W HENDERSON AVE STE 2, PORTERVILLE, CA 93257-1490
(559) 801-9521
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
112881
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112881
BBS
CA
Enumeration date
11/22/2011
Last updated
05/01/2024
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