Provider Demographics
NPI:1124643416
Name:OCHOA, CHRISTINE R (COUNSELOR)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:R
Last Name:OCHOA
Suffix:
Gender:F
Credentials:COUNSELOR
Other - Prefix:MS
Other - First Name:CHRISTINE
Other - Middle Name:FRANCO
Other - Last Name:RIVAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COUNSELOR
Mailing Address - Street 1:9751 SAN SIMEON DR
Mailing Address - Street 2:
Mailing Address - City:DESERT HOT SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92240-1843
Mailing Address - Country:US
Mailing Address - Phone:951-783-6515
Mailing Address - Fax:
Practice Address - Street 1:68257 CALLE AZTECA
Practice Address - Street 2:
Practice Address - City:DESERT HOT SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92240-6424
Practice Address - Country:US
Practice Address - Phone:760-894-3182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-11
Last Update Date:2024-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1780177378101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)