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NPI Code Detail

MEDICARE: ALEXANDRA RIVERA LPC

MEDICARE: ALEXANDRA RIVERA LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor87281TX

General Provider Information

NPI Number : 1265286991
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA RIVERA LPC
Provider Business Mailing Address
First Line : 4400 STATE HIGHWAY 121 STE 300
Second Line :
City : LEWISVILLE
State : TX
Zip : 75056-5157
Country : US
Telephone Number : 214-418-2927
Fax Number :
Provider Business Practice Location Address
First Line : 4400 STATE HIGHWAY 121 STE 300
Second Line :
City : LEWISVILLE
State : TX
Zip : 75056-5157
Country : US
Telephone Number : 214-418-2927
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2024
Last Update Date : 04/17/2024

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Directions to “ ALEXANDRA RIVERA LPC” Practice Location

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