| 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 |