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1760836795
DANIEL RIVAS
MODESTO, CA
NPI
1760836795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 44572)
Enumeration Date
2016-04-15
Last Update Date
2016-04-15
Business Address
DANIEL RIVAS MFT
1235 MCHENRY AVE
MODESTO, CA 95350-5370
Phone number: 209-527-4597
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Mailing Address
DANIEL RIVAS MFT
1235 MCHENRY AVE
MODESTO, CA 95350-5370
Phone number: 209-527-4597
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