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NPI Code Detail

MEDICARE: ERICA SHOSHANA RIVERS LMFT

MEDICARE:   ERICA SHOSHANA RIVERS  LMFT
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
1106H00000XMarriage & Family TherapistMN

General Provider Information

NPI Number : 1326879388
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA SHOSHANA RIVERS LMFT
Provider Business Mailing Address
First Line : 1409 WILLOW ST STE 400
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55403-3251
Country : US
Telephone Number : 612-964-3646
Fax Number :
Provider Business Practice Location Address
First Line : 1409 WILLOW ST STE 400
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55403-3251
Country : US
Telephone Number : 612-964-3646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2024
Last Update Date : 08/12/2024

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Directions to “ ERICA SHOSHANA RIVERS LMFT” Practice Location

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