Provider Demographics
NPI:1386830891
Name:ONTIVEROS, DEBORAH M (LPC, CEAP, PHR)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:M
Last Name:ONTIVEROS
Suffix:
Gender:F
Credentials:LPC, CEAP, PHR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 N LEE TREVINO DR
Mailing Address - Street 2:STE C-7
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-5169
Mailing Address - Country:US
Mailing Address - Phone:915-593-5676
Mailing Address - Fax:915-593-1199
Practice Address - Street 1:1600 N LEE TREVINO DR
Practice Address - Street 2:STE C-7
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-5169
Practice Address - Country:US
Practice Address - Phone:915-593-5676
Practice Address - Fax:915-593-1199
Is Sole Proprietor?:No
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14295101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional