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Octavio Daniel Rivera
Mental Health Counselor in Madera, California
NPI 1073076402

Octavio Daniel Rivera is a Mental Health Counselor based in Fresno, CA and is specialized in Mental Health. Octavio Daniel Rivera practices in Madera, CA. The NPI Number for Octavio Daniel Rivera is 1073076402 and holds a License No. (California).

The current practice location address for Octavio Daniel Rivera is 10535 Road 35, Madera, CA and can be reached out via phone at 559-645-0903.

Location: 10535 Road 35, Madera, CA, 93711-2775
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073076402
Provider Name
Octavio Daniel Rivera
Credential
Provider Entity Type
Individual
Gender
Male
Address
10535 Road 35, Madera, CA, 93711-2775
Phone Number
559-645-0903
Fax Number
Provider Enumeration Date
04/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10535 Road 35
City
Madera
State
California
Zip
93636-8487
Phone Number
559-645-0903
Fax Number
person
Provider Business Mailing Address Details
Address
10535 Road 35
City
Madera
State
California
Zip
93636-8487
Phone Number
559-645-0903
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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