Individual
WENDY RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
205 S ENTERPRIZE PKWY, CORPUS CHRISTI, TX 78405-4118
(361) 939-6510
Mailing address
205 S ENTERPRIZE PKWY, CORPUS CHRISTI, TX 78405-4118
(361) 939-6510
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
79416
TX
101YM0800X
Mental Health Counselor
79416
TX
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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