Provider Demographics
NPI:1386869295
Name:ONSUREZ, PAT MARIE
Entity type:Individual
Prefix:
First Name:PAT
Middle Name:MARIE
Last Name:ONSUREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1955 LA VIDA AVE
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-8813
Mailing Address - Country:US
Mailing Address - Phone:559-359-0564
Mailing Address - Fax:
Practice Address - Street 1:1955 LA VIDA AVE
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-8813
Practice Address - Country:US
Practice Address - Phone:559-359-0564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health