Mary Rivera
Counselor, Professional in Devine, TX. Individual provider (NPI-1).
NPI number1356830368
StatusActive
Last updated in NPPESMar 22, 2022
Details
- NPI
- 1356830368
- Entity type
- Individual (NPI-1)
- Name
- Mary Rivera
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 4, 2018
- Certification date
- Mar 22, 2022
- Last updated
- Mar 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 75057 | TX | Yes |
Practice location
612 E Hondo AveDevine, TX 78016-3320
Phone 830-444-6281
Mailing address
612 E Hondo AveDevine, TX 78016-3320
Phone 830-444-6281
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