JACQUELINE HEIDI RIVERA
NPI 1366733438
Counselor - Mental Health in Pomona, CA
Active since April 25, 2011
About Jacqueline Heidi Rivera NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE HEIDI RIVERA (NPI 1366733438) is an individual mental health provider in Pomona, California and active in the NPI registry since April 2011.
NPPES Registry Identity
NPI1366733438
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELINE HEIDI RIVERA
Location Address160 E HOLT AVEPomona, CA 91767-5406
Mailing Address6170 Pegasus Dr Apt 5Riverside, CA 92503-8050 · (619) 867-9672
Phone(909) 620-2521
Sole ProprietorYes
Enumeration DateApril 25, 2011
✔ NPI 1366733438 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
160 E HOLT AVE, Pomona, CA 91767
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366733438, enumerated as an "individual" on April 25, 2011.
The provider is located at 160 E HOLT AVE POMONA, CA 91767 and the phone number is (909) 620-2521.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
