Individual provider · Type 1 NPI

Irma Rivera-Carlisle, MDIV, M.A., MFT

Mental Health Counselor · Kentfield, CA

NPI number 1639385222 Active

Practice location

1036 Sir Francis Drake Blvd
Kentfield, CA 94904-1427

Call (415) 246-5051 Map

Fax (415) 482-0863

Mailing address

PO Box 1522
San Anselmo, CA 94979-1522

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMFC45828 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1639385222

Irma Rivera-Carlisle, MDIV, M.A., MFT's National Provider Identifier is 1639385222, issued on May 14, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kentfield, CA. The record was last updated on Jan 29, 2012.