Provider Demographics
NPI:1174930804
Name:RIVAS, CHRISTINE HOSANNA (MSW, LCSW 120766)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:HOSANNA
Last Name:RIVAS
Suffix:
Gender:F
Credentials:MSW, LCSW 120766
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 WAVERLY CT
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030
Mailing Address - Country:US
Mailing Address - Phone:805-388-4420
Mailing Address - Fax:
Practice Address - Street 1:9623 LITTLETON GRIST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-2382
Practice Address - Country:US
Practice Address - Phone:805-236-0757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-15
Last Update Date:2024-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1207661041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical