Individual
JACQUELINE RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1955 N VALLEY DR, LAS CRUCES, NM 88007-5154
(575) 523-2772
(575) 524-2993
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(575) 267-3280
(575) 267-1747
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0180001
NM
106H00000X
Marriage & Family Therapist
165721
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22225072
—
NM
Enumeration date
01/30/2014
Last updated
08/08/2016
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