Jesus Ontiveroz, | |
4646 W Jefferson Ave, Ecorse, MI 48229-1418 | |
(313) 622-9827 | |
Not Available |
Full Name | Jesus Ontiveroz |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 4646 W Jefferson Ave, Ecorse, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659815801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | C-02164 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jesus Ontiveroz, 4646 W Jefferson Ave, Ecorse, MI 48229-1418 Ph: (313) 622-9827 | Jesus Ontiveroz, 4646 W Jefferson Ave, Ecorse, MI 48229-1418 Ph: (313) 622-9827 |
Mr. Charles E Wasson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 336 Salliotte Rd, Ecorse, MI 48229 Phone: 313-383-5500 | |
Tanya D Mizell, NCC LPC CCTP ASDI Counselor Medicare: Medicare Enrolled Practice Location: 3763 17th St, Ecorse, MI 48229 Phone: 734-237-7199 | |
Mr. Robert Christopher Miles, Counselor Medicare: Not Enrolled in Medicare Practice Location: 336 Salliotte Rd, Ecorse, MI 48229 Phone: 313-383-5500 | |
Mrs. Rozalyn Marie Mitchell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 336 Salliotte Rd, Ecorse, MI 48229 Phone: 313-383-5500 |