De Rivera, Charles Raymond
De Rivera, Charles Raymond is an individual health care provider with primary practice located at 36000 Darnall Loop , Fort Hood TX 76544-5095. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. De Rivera, Charles Raymond can be contacted via phone (254) 288-5602.Contact Information
Primary practice address
36000 Darnall Loop
Fort Hood TX 76544-5095
Phone: (254) 288-5602
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | S11224 | Texas |
Profile Details
| NPI number | 1578603882 |
|---|---|
| LBN Legal business name | De Rivera, Charles Raymond |
| Credentials | LCSW, ABD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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