JOSE GUILLERMO RIVAS

JACKSON, WY
NPI1649757196
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WY  PPC-1076)
Enumeration Date2018-07-26
Last Update Date2018-07-26
Business Address
JOSE GUILLERMO RIVAS PPC
140 E BROADWAY AVE # B-13
JACKSON, WY 83001-8632
Phone number: 307-413-6528
Mailing Address
JOSE GUILLERMO RIVAS PPC
140 E BROADWAY AVE # B-13
JACKSON, WY 83001-8632
Phone number: 307-413-6528
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