Individual
PRISCILLA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6840 INDIANA AVE STE 275, RIVERSIDE, CA 92506-4279
(951) 778-0230
Mailing address
PO BOX 3551, RIVERSIDE, CA 92519-3551
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7230
CA
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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