Edgar Ontiveros
Edgar Ontiveros is a Peer Specialist in Clearlake, California. Licensed in California. Registered with an NPI since 2024.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
14096 Lakeshore DrClearlake, CA 95422-8160
Phone: (707) 994-4261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence MPSS-WEYLRB (CA) |
|---|
Record details
| NPI number | 1891517124 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 28, 2024 |
| Last updated in NPPES | October 30, 2024 |
| Certification date | October 30, 2024 |
| Mailing address | Po Box 1024, Lucerne, CA 95458-1024 |
Other providers in Clearlake
-
George Clayton Pepper
7000B S Center Dr, Clearlake, CA 95422-8458 · (707) 994-7090
-
David Sander
7000B S Center Dr, Clearlake, CA 95422-8458 · (707) 994-7090
-
Anarosa Solorio Macias
14092 Lakeshore Dr, Clearlake, CA 95422-8160 · (707) 994-4261
-
Rebecca Inez Vasquez, PEERSUPPORTSPC
7000B S Center Dr, Clearlake, CA 95422-8131 · (707) 994-7090