Individual provider · Type 1 NPI
Gregorio Liebano Rivera
Counselor · Big Bear Lake, CA
NPI number
1831407055
Active
Practice location
41945 Big Bear Blvd Suite 200
Big Bear Lake, CA 92315
Mailing address
PO Box 2471
Big Bear Lake, CA 92315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1831407055
Gregorio Liebano Rivera's National Provider Identifier is 1831407055, issued on Sep 22, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Big Bear Lake, CA. The record was last updated on Sep 22, 2010.