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Individual

DR. CAROLYN JOANNE ONTIVEROS HANOHANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, PMHNP-BC, APRN

Contact information

Practice address
800 S VICTORIA AVE # 4615, VENTURA, CA 93009-1647
(805) 766-0883
(805) 339-1128
Mailing address
800 S VICTORIA AVE # 4615, VENTURA, CA 93009-0003
(805) 766-0883
(805) 339-1128

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
576785
CA
171M00000X
Case Manager/Care Coordinator
576785
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95030733
CA

Other

Enumeration date
05/10/2008
Last updated
08/09/2024
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