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Individual

DR. DAISY MARIELA RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD, LMHC

Contact information

Practice address
269 UNION ST, LYNN, MA 01901-1314
(781) 477-7222
Mailing address
400 SKYLINE DR APT 1, DRACUT, MA 01826-6122
(509) 387-3182
(509) 664-4590

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH60748230
WA
101YM0800X
Mental Health Counselor
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2085250
WA
Enumeration date
09/30/2013
Last updated
08/04/2020
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