Individual
CALEB MOISE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT-T
Contact information
Practice address
6611 E CENTRAL AVE STE C, WICHITA, KS 67206-1937
(316) 650-1877
Mailing address
2719 S CARRWOOD CIR, WICHITA, KS 67215-1538
(316) 295-7296
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
03204-T
KS
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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