Individual
PATRICIA A RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1710 CENTRO FAMILIAR SW, ALBUQUERQUE, NM 87105-0001
(505) 212-7399
(505) 877-3353
Mailing address
1017 FORRESTER AVE NW, ALBUQUERQUE, NM 87102-1907
(505) 917-8904
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I-2541
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00071004
—
NM
Enumeration date
07/19/2006
Last updated
09/12/2012
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