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General NPI Number Information
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NPI Number | 1558699306
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Entity Type | Individual
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Provider Name | ALYX RAIN RIVERA-MACTERNAN ED.D.
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Gender | Female
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Dates
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Enumeration Date | 12/04/2009
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 4601 TELEPHONE RD STE 117
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City | VENTURA
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State | CA
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Zip | 93003-5672
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Country | US
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Telephone | 805-642-7033
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Fax |
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Provider Business Mailing Address
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Address Line | 4601 TELEPHONE RD STE 117
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City | VENTURA
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State | CA
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Zip | 93003-5672
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Country | US
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Telephone | 805-642-7033
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPCC7852
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License Number State | CA
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