Rivera-Carlisle, Irma
Rivera-Carlisle, Irma is an sole proprietor health care provider with primary practice located at 1036 Sir Francis Drake Blvd , Kentfield CA 94904-1427. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Rivera-Carlisle, Irma can be contacted via phone (415) 246-5051.Contact Information
Primary practice address
1036 Sir Francis Drake Blvd
Kentfield CA 94904-1427
Phone: (415) 246-5051
Fax: (415) 482-0863
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MFC45828 | California |
Profile Details
| NPI number | 1639385222 |
|---|---|
| LBN Legal business name | Rivera-Carlisle, Irma |
| Credentials | MDIV, M.A., MFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 14th, 2007 |
| Last updated | Jan 29th, 2012 - about 13 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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