Individual
GLORIA RIVERA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., M.A.
Contact information
Practice address
109 SILVER PALM AVE, MELBOURNE, FL 32901-3125
(321) 506-8373
(321) 956-1502
Mailing address
109 SILVER PALM AVE, MELBOURNE, FL 32901-3125
(321) 506-8373
(321) 956-1502
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH5380
FL
106H00000X
Marriage & Family Therapist
Primary
MT1771
FL
Other
Enumeration date
03/05/2007
Last updated
01/31/2008
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