Rivera, Mia Maria

Rivera, Mia Maria is an sole proprietor health care provider with primary practice located at 399 Drake Ave , Monterey CA 93940. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Rivera, Mia Maria can be contacted via phone (831) 643-9069.

Contact Information

Primary practice address
399 Drake Ave Monterey CA 93940
Phone: (831) 643-9069
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X California

Profile Details

NPI number 1205075967
LBN Legal business name Rivera, Mia Maria
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2009
Last updated Dec 5th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205075967 NPPES
California MEDICAID 1205075967

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