Individual
GARNETTE CAMILLE RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
907 W CADDO ST, CLEVELAND, OK 74020-4201
(918) 633-6279
Mailing address
907 W CADDO ST, CLEVELAND, OK 74020-4201
(918) 633-6279
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
13262
OK
171M00000X
Case Manager/Care Coordinator
Primary
315898
OK
Other
Enumeration date
09/05/2018
Last updated
05/07/2026
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