Individual
JOSHUA RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC SUDP SUDPT
Contact information
Practice address
9500 FRONT ST S STE 100, LAKEWOOD, WA 98499-9415
(253) 393-2478
Mailing address
15517 40TH AVE W APT D202, LYNNWOOD, WA 98087-8476
(214) 250-8781
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15597
TX
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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