Individual
MARICO DANTEL RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 W PARK ROW DR STE A, ARLINGTON, TX 76010-2559
(817) 987-2651
Mailing address
1408 STRAWBERRY LN APT 313, ARLINGTON, TX 76011-4962
(972) 854-9497
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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