Healthcare Provider Details

I. General information

NPI: 1649313248
Provider Name (Legal Business Name): L. CABRINI RIVERA ARTERO MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5318 CHIEF BROWN LN
DARRINGTON WA
98241-9420
US

IV. Provider business mailing address

6808 72ND ST NE
MARYSVILLE WA
98270-7790
US

V. Phone/Fax

Practice location:
  • Phone: 360-436-1400
  • Fax:
Mailing address:
  • Phone: 360-658-7052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberRC00053544
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: