Individual provider · Type 1 NPI

Jose Guillermo Rivas, PPC

Mental Health Counselor · Jackson, WY

NPI number 1649757196 Active

Practice location

140 E Broadway Ave # B-13
Jackson, WY 83001-8632

Call (307) 413-6528 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPPC-1076 (WY)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1649757196

Jose Guillermo Rivas, PPC's National Provider Identifier is 1649757196, issued on Jul 26, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, WY. The record was last updated on Jul 26, 2018.