Individual
TIFFANY A ONTIVEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
121 S MARTIN LUTHER KING BLVD STE 200, LAS VEGAS, NV 89106-4309
(702) 486-5004
Mailing address
121 S MARTIN LUTHER KING BLVD STE 200, LAS VEGAS, NV 89106-4309
(702) 486-5004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/10/2011
Last updated
09/19/2012
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