MS. Irma Rivera-Carlisle, MDIV, M.A., MFT

NPI #1639385222 in Kentfield, California

Provider Information

NPI Number
1639385222
Entity Type
Individual
Name
MS. Irma Rivera-Carlisle, MDIV, M.A., MFT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
MDIV, M.A., MFT
Enumeration Date
May 14, 2007
Last Updated
Jan 29, 2012

Practice Location

Address
1036 SIR FRANCIS DRAKE BLVD
ZIP Code
94904-1427
Phone
(415) 246-5051

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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