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Individual

MR. JEROME C. RIVERS

Active
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Individual

MR. JEROME C. RIVERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCC-S, LIMFT

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
E0004292
OH
106H00000X
Marriage & Family Therapist
Primary
F0000120
OH

Other

Enumeration date
02/22/2010
Last updated
02/22/2010
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