Individual
MRS. ELISA ANNE RIVARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1117 HARLAN AVE, WICHITA FALLS, TX 76306-6146
(940) 613-4930
Mailing address
1117 HARLAN AVE, WICHITA FALLS, TX 76306-6146
(940) 613-4930
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
204528
TX
106H00000X
Marriage & Family Therapist
Primary
204528
TX
Other
Enumeration date
10/17/2024
Last updated
11/19/2024
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