Individual provider · Type 1 NPI

Douglas Horacio Tavira

Mental Health Counselor · Riverside, CA

NPI number 1801057187 Active

Practice location

3801 University Ave, Suite 400
Riverside, CA 92501-3247

Mailing address

4556 Central Ave
Riverside, CA 92506-2327

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1801057187

Douglas Horacio Tavira's National Provider Identifier is 1801057187, issued on Jun 19, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Riverside, CA. The record was last updated on Nov 19, 2015.