Individual
ANISSA YVETTE RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
892 27TH ST, SAN DIEGO, CA 92154-1444
(619) 575-4687
Mailing address
892 27TH ST, SAN DIEGO, CA 92154-1444
(619) 575-4687
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
09/23/2025
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