Individual
ALLEN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LPC
Contact information
Practice address
540 SILICON DR STE 103, SOUTHLAKE, TX 76092-7507
(214) 530-0021
(214) 530-0021
Mailing address
300 N I 35, WAXAHACHIE, TX 75165-5226
(214) 530-0021
(214) 530-0021
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
78189
TX
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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