Individual
ELIZABETH RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1033 SW 152ND ST, BURIEN, WA 98166
(206) 242-1698
Mailing address
2825 MONFORE DR UNIT A, JOINT BASE LEWIS MCCHORD, WA 98433-1048
(559) 750-5579
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
WA
101YM0800X
Mental Health Counselor
—
WA
175T00000X
Peer Specialist
—
WA
Other
Enumeration date
09/21/2020
Last updated
09/22/2020
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