Individual
AMBER ONTIVEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2452 WILSHIRE ST, RIVERSIDE, CA 92501-2144
(951) 682-6631
Mailing address
2275 E COOLEY DR, COLTON, CA 92324-6324
(909) 370-1777
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/01/2018
Last updated
11/12/2018
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