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1548867484
KENDAL LAUREN RIVERA
FAIRFIELD, CA
NPI
1548867484
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Former Name
KENDAL LAUREN HABEGGER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: CA AMFT112187)
Enumeration Date
2020-10-05
Last Update Date
2020-10-19
Business Address
KENDAL LAUREN RIVERA
1234 EMPIRE ST STE 1500
FAIRFIELD, CA 94533-5711
Phone number: 707-373-9454
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Mailing Address
KENDAL LAUREN RIVERA
782 OXFORD WAY
BENICIA, CA 94510-3802
Phone number: 707-373-9454
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