Penny R Rivera, MA
Counselor, Professional in Mesa, AZ. Individual provider (NPI-1).
NPI number1427282946
StatusActive
Last updated in NPPESApr 27, 2017
Details
- NPI
- 1427282946
- Entity type
- Individual (NPI-1)
- Name
- Penny R Rivera
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 12, 2009
- Last updated
- Apr 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC 15213 | AZ | Yes |
| 106H00000X | Marriage & Family Therapist | LPC 15213 | AZ |
Practice location
1830 S Alma School Rd.Suite 112
Mesa, AZ 85210
Phone 480-730-6222 · Fax 480-889-5566
Mailing address
1830 S Alma School RdSuite 112
Mesa, AZ 85210-3056
Phone 480-730-6222 · Fax 480-889-5566
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