Individual provider · Type 1 NPI
Miriam V. Rivas, LPCC, LPC
Professional Counselor · Santa Teresa, NM
NPI number
1811015647
Active
Practice location
5305 Mcnutt Rd Ste E
Santa Teresa, NM 88008-9685
Fax (915) 351-6601
Mailing address
5290 Mcnutt Rd Ste. 211 #1137
Santa Teresa, NM 88008-9694
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 0110021 (NM) |
| Professional Counselor | 101YP2500X | 66211 (TX) |
| Professional Counselor Primary | 101YP2500X | 0128131 (NM) |
Professional Counselor: Definition to come...
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About NPI 1811015647
Miriam V. Rivas, LPCC, LPC's National Provider Identifier is 1811015647, issued on Mar 27, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Santa Teresa, NM. The record was last updated on Feb 13, 2025.