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PATRICIA MARIA DE LA RIVAHERRERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13037 NE BEL RED RD STE 102, BELLEVUE, WA 98005-2618
(425) 502-9945
(855) 212-5682
Mailing address
1650 S TOPAZ WAY, MERIDIAN, ID 83642-4474
(208) 810-2695
(208) 898-3365

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LH60945586
WA
101YM0800X
Mental Health Counselor
LH60945586
WA

Other

Enumeration date
12/05/2019
Last updated
12/05/2019
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