Individual provider · Type 1 NPI
Lucelly M. Medeiros Rivera
Counselor · Seattle, WA
NPI number
1962977447
Active
Practice location
3808 S Angeline St, Seattle, Wa 98118
Seattle, WA 98118
Mailing address
2611 NE 125th St Ste 145
Seattle, WA 98125-4357
Other practice locations
- 13940 NE 166th St, Woodinville, WA 98072-9085 · (787) 464-5529
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Behavior Technician | 106S00000X | RBT-15-09036 (WA) |
| Counselor Primary | 101Y00000X | CG61139749 (WA) |
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 1962977447
Lucelly M. Medeiros Rivera's National Provider Identifier is 1962977447, issued on Oct 10, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Seattle, WA. The record was last updated on Mar 4, 2021.