| Agueda Rivas, | |
|
160 S 7th Ave, La Puente, CA 91746-3211 | |
| (626) 961-8971 | |
| Not Available |
| Full Name | Agueda Rivas |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 160 S 7th Ave, La Puente, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487065140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | IMF 87190 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | 106022 (California) | Primary |
| Entity Name | Enki Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932230638 PECOS PAC ID: 8022926559 Enrollment ID: O20040117000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Agueda Rivas, 160 S 7th Ave, La Puente, CA 91746-3211 Ph: (626) 961-8971 | Agueda Rivas, 160 S 7th Ave, La Puente, CA 91746-3211 Ph: (626) 961-8971 |
Miss Michelle Amanda Jarrett, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 160 S 7th Ave, La Puente, CA 91746 Phone: 626-961-8971 | |
Raylene Monique Vicario Marichi, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 160 S 7th Ave, La Puente, CA 91746 Phone: 626-961-8971 | |
Brenda Abigail Valadez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 234 N 3rd St, La Puente, CA 91744 Phone: 626-945-8818 | |
Amanda Iliana Frausto, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 160 S 7th Ave, La Puente, CA 91746 Phone: 626-961-8971 | |
Mrs. Rachel Lynn Davis Coleman, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 160 S 7th Ave, La Puente, CA 91746 Phone: 626-974-0770 | |
Judith Stirling Schiada, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 160 S 7th Ave, La Puente, CA 91746 Phone: 626-961-8971 | |
Tanya Gonzalez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 160 S 7th Ave, La Puente, CA 91746 Phone: 626-961-8971 |