Individual
MS. ELVIA RIVERA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
1643 E 2ND ST, AUSTIN, TX 78702-4411
(512) 804-3659
(512) 804-3677
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 445-7787
(512) 440-4059
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7953
TX
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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