Dolores Jazmin Rivera
Peer Specialist in Indio, CA. Individual provider (NPI-1).
NPI number1104466929
StatusActive
Last updated in NPPESJan 9, 2020
Details
- NPI
- 1104466929
- Entity type
- Individual (NPI-1)
- Name
- Dolores Jazmin Rivera
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 9, 2020
- Certification date
- Jan 9, 2020
- Last updated
- Jan 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
| 225C00000X | Rehabilitation Counselor | – | – | |
| 273R00000X | Psychiatric Unit | – | – |
Practice location
47915 Oasis StIndio, CA 92201-6950
Phone 760-863-8600
Mailing address
88-455 Ave. 57th Space 4Thermal, CA 92274
Phone 442-200-8922
Other practice locations
47915 Oasis St
Indio, CA 92201-6950
Indio, CA 92201-6950
Phone 760-863-8650
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