Individual provider · Type 1 NPI

Kendal Lauren Rivera

Mental Health Counselor · Fairfield, CA

NPI number 1548867484 Active

Practice location

1234 Empire St Ste 1500
Fairfield, CA 94533-5711

Call (707) 373-9454 Map

Mailing address

782 Oxford Way
Benicia, CA 94510-3802

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XAMFT112187 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1548867484

Kendal Lauren Rivera's National Provider Identifier is 1548867484, issued on Oct 5, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairfield, CA. The record was last updated on Oct 19, 2020.