Individual
RACHEL RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TEMPORARY LPCC
Contact information
Practice address
1332 GUSDORF RD STE B, TAOS, NM 87571-6372
(575) 224-3197
Mailing address
102 N CORONADO AVE, ESPANOLA, NM 87532-2700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35588519
—
NM
Enumeration date
07/19/2019
Last updated
07/19/2019
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