Individual
RICARDO ONTIVEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
4420 W FREMONT RD, LAVEEN, AZ 85339-2218
(602) 363-7425
Mailing address
2111 E BASELINE RD STE A2, TEMPE, AZ 85283-1505
(602) 363-7425
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-19674
AZ
Other
Enumeration date
04/14/2022
Last updated
04/26/2022
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