Individual
MS. BERTHA IRENE RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
910 E DREYER ST, PHARR, TX 78577-5004
(956) 739-3051
Mailing address
910 E DREYER ST, PHARR, TX 78577-5004
(956) 739-3051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10403
TX
Other
Enumeration date
04/22/2007
Last updated
07/08/2007
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