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Individual
MARY RIVERS
Active
Individual
MARY RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC AND LMHC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C4052
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
11-06-62
OR
101YM0800X
Mental Health Counselor
Primary
LH60659551
WA
101YM0800X
Mental Health Counselor
R3301
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123190
—
OR
01
—
4052
LICENSED COUNSELOR IN OREGON LPC
OR
01
—
60659551
LICENSED COUNSELOR IN WA
WA
Enumeration date
07/31/2009
Last updated
02/07/2024
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