Doctor Name: | MRS. VALENE RIVES |
NPI Number: | 1033596804 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | MC 60416949 |
Business Practice Address: | 3180 W Clearwater Ave Ste A Kennewick, WA - 993362765 |
Business Phone Number: | 5095438507 |
Business Fax Number: | 5093741654 |
Mailing Address: | Po Box 1452, PASCO |
State: | WA |
Postal Code: | 993011223 |
Phone Number: | 5095438507 |
Fax Number: | 5093741654 |
NPI Enumeration Date: | 04/30/2015 |
NPI Last Update Date: | 04/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MC 60416949 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |