Individual
DIA MICHELLE RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15134 GREENWING ST, CALDWELL, ID 83607-5506
(208) 740-3372
Mailing address
15134 GREENWING ST, CALDWELL, ID 83607-5506
(208) 740-3372
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/16/2020
Last updated
05/18/2023
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