Provider Demographics
NPI:1235277880
Name:RIVERA-FUENTES, MARCELA (LMHC, CAP)
Entity Type:Individual
Prefix:MRS
First Name:MARCELA
Middle Name:
Last Name:RIVERA-FUENTES
Suffix:
Gender:F
Credentials:LMHC, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1881 NE 26TH ST STE 224
Mailing Address - Street 2:
Mailing Address - City:WILTON MANORS
Mailing Address - State:FL
Mailing Address - Zip Code:33305-1400
Mailing Address - Country:US
Mailing Address - Phone:954-358-2258
Mailing Address - Fax:954-358-2259
Practice Address - Street 1:1881 NE 26TH ST STE 224
Practice Address - Street 2:
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33305-1400
Practice Address - Country:US
Practice Address - Phone:954-358-2258
Practice Address - Fax:954-358-2259
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health