Individual provider · Type 1 NPI

Colby Michael Rivera

Mental Health Counselor · San Diego, CA

NPI number 1992312839 Active

Practice location

928 Broadway
San Diego, CA 92101-5514

Fax (619) 481-3075

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1992312839

Colby Michael Rivera's National Provider Identifier is 1992312839, issued on Sep 24, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Sep 25, 2020.