| Doctor Name: | MS. MIRIAM V RIVAS |
| NPI Number: | 1811015647 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC, LPC |
| License Number: | 0110021 |
| Business Practice Address: | 4950 Mcnutt Rd. Sunland Park, NM - 88021 |
| Business Phone Number: | 9152035103 |
| Business Fax Number: | 9153516601 |
| Mailing Address: | 299 Kingspoint Dr Apt 54, EL PASO |
| State: | TX |
| Postal Code: | 799126506 |
| Phone Number: | 9152035103 |
| Fax Number: | |
| NPI Enumeration Date: | 03/27/2007 |
| NPI Last Update Date: | 05/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0110021 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |