EDWIN IVAN RIVERA

VAN NUYS, CA
NPI1871778365
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Additional Taxonomies101YM0800X Counselor Mental Health
Enumeration Date2008-01-03
Last Update Date2018-06-19
Business Address
MR. EDWIN IVAN RIVERA B.A., MA
6501 VAN NUYS BLVD STE 103
VAN NUYS, CA 91401
Phone number: 818-902-5315
Mailing Address
MR. EDWIN IVAN RIVERA B.A., MA
6501 VAN NUYS BLVD STE 103
VAN NUYS, CA 91401-1425
Phone number: 818-902-5315