Individual
PENNY R RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1830 S ALMA SCHOOL RD., SUITE 112, MESA, AZ 85210
(480) 730-6222
(480) 889-5566
Mailing address
1830 S ALMA SCHOOL RD, SUITE 112, MESA, AZ 85210-3056
(480) 730-6222
(480) 889-5566
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 15213
AZ
106H00000X
Marriage & Family Therapist
LPC 15213
AZ
Other
Enumeration date
05/12/2009
Last updated
04/27/2017
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