Individual
PETER M RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3307 3RD AVE W STE 120, SEATTLE, WA 98119-1922
(206) 851-1718
Mailing address
20618 142ND AVE SE, KENT, WA 98042-3066
(206) 851-1718
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60695942
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
604183681
UBI
WA
Enumeration date
11/06/2017
Last updated
11/06/2017
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