Patricia Guadalupe Rivas
Addiction Counselor (Substance Use Disorder)
717 Lincoln Blvd.
Venice
, California 90291
Patricia Guadalupe Rivas
Addiction Counselor (Substance Use Disorder)
717 Lincoln Blvd.
Venice
, California 90291
(310) 399-9678
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Patricia Guadalupe Rivas
- 5527 Romaine St Apt 4
- Los Angeles, CA
- Zip : 90038-3273
- Fax : (310) 399-9678
- Phone : (323) 203-4804
Second Address
- Patricia Guadalupe Rivas
- 717 Lincoln Blvd.
- Venice, CA
- Zip : 90291
- Fax : (310) 399-9678
- Phone : (310) 399-9883
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
National Provider Identifier
| NPI | 1003218660 |
|---|---|
| Provider Name | Patricia Guadalupe Rivas |
| First Address | Los Angeles, CA 90038-3273 |
| Second Address | Venice, CA 90291 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/09/2014 |
| Last Update Date | 25/09/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.