Individual
MR. MICHAEL H RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CIT
Contact information
Practice address
3505 5TH AVE STE B, LAKE CHARLES, LA 70607-2156
(337) 475-4855
(337) 475-4858
Mailing address
4010 LOUISIANA AVE APT 1015, LAKE CHARLES, LA 70607-8005
(713) 628-1762
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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