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Individual
SETH RIVEST
Active
Individual
SETH RIVEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-1799
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P-1799
PLADC
NE
Enumeration date
07/09/2020
Last updated
11/27/2023
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