Doctor Name: | BONNIE J RIVERS |
NPI Number: | 1588643480 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | 002133 |
Business Practice Address: | 301 N 2nd St Odessa, MO - 640761137 |
Business Phone Number: | 8166335921 |
Business Fax Number: | 8166337942 |
Mailing Address: | 301 N 2nd St, ODESSA |
State: | MO |
Postal Code: | 640761137 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/10/2006 |
NPI Last Update Date: | 01/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 002133 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |