| Doctor Name: | MRS. MARCELA RIVERA-FUENTES |
| NPI Number: | 1235277880 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC, CAP. |
| License Number: | |
| Business Practice Address: | 1881 Ne 26th St Ste 224 Wilton Manors, FL - 333051400 |
| Business Phone Number: | 9543582258 |
| Business Fax Number: | 9543582259 |
| Mailing Address: | 1881 Ne 26th St Ste 224, WILTON MANORS |
| State: | FL |
| Postal Code: | 333051400 |
| Phone Number: | 9543582258 |
| Fax Number: | 9543582259 |
| NPI Enumeration Date: | 02/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |