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Individual

DAVID RIVERA

Active
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Individual

DAVID RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—

Other

Enumeration date
09/08/2022
Last updated
01/10/2024
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