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Individual

MR. EDWIN IVAN RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.A., MA

Contact information

Practice address
6501 VAN NUYS BLVD STE 103, VAN NUYS, CA 91401
(818) 902-5315
(818) 780-6562
Mailing address
6501 VAN NUYS BLVD STE 103, VAN NUYS, CA 91401-1425
(818) 902-5315
(818) 780-6562

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CA
225400000X
Rehabilitation Practitioner
Primary
CA

Other

Enumeration date
01/03/2008
Last updated
06/19/2018
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