Individual
KYLEIGH ANN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
6303 4TH ST NW STE 1, LOS RANCHOS, NM 87107-5855
(505) 717-1155
Mailing address
6303 4TH ST NW STE 1, LOS RANCHOS, NM 87107-5855
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2023-0114
NM
Other
Enumeration date
10/11/2022
Last updated
02/15/2023
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