Provider Demographics
NPI:1831542141
Name:RIVERA, BRIANA JEANETTE (LMFT)
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:JEANETTE
Last Name:RIVERA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:BRIANA
Other - Middle Name:JEANETTE
Other - Last Name:HERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7850 WHITE LN # E249
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-7698
Mailing Address - Country:US
Mailing Address - Phone:661-834-7564
Mailing Address - Fax:661-831-8882
Practice Address - Street 1:7201 SCHIRRA CT STE E
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93313-2051
Practice Address - Country:US
Practice Address - Phone:661-834-7564
Practice Address - Fax:661-831-8882
Is Sole Proprietor?:No
Enumeration Date:2016-07-21
Last Update Date:2024-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 101YM0800X
CA145816106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health