Individual
CHRISTINE SOPHIA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2600 FOOTHILL BLVD STE 203, LA CRESCENTA, CA 91214-4579
(818) 934-6268
Mailing address
2600 FOOTHILL BLVD STE 203, LA CRESCENTA, CA 91214-4579
(818) 934-6268
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY30691
CA
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
10/03/2014
Last updated
04/15/2024
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