Individual
MRS. JASMIN RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
921 NE 13TH ST, #122, OKLAHOMA CITY, OK 73104
(405) 456-1000
Mailing address
921 NE 13TH ST, #122, OKLAHOMA CITY, OK 73104
(405) 456-1000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
5086
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H081762182
—
OK
Enumeration date
09/12/2011
Last updated
04/08/2021
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