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Individual

MS. MIRIAM V RIVAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC, LPC

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0110021
NM
101YP2500X
Professional Counselor
Primary
0128131
NM
101YP2500X
Professional Counselor
66211
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NM600035
NM MEDICAID
NM
Enumeration date
03/27/2007
Last updated
02/13/2025
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