Individual
TONI RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1100 W 21ST STREET, CLOVIS, NM 88101
(575) 769-2345
(575) 769-9013
Mailing address
1100 W 21ST STREET, CLOVIS, NM 88101
(575) 769-2345
(575) 769-9013
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
AMFT-111700
CA
Other
Enumeration date
11/11/2014
Last updated
01/03/2023
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