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Individual
BETHSAIDA RIVERA
Active
Individual
BETHSAIDA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00260900
NJ
101YM0800X
Mental Health Counselor
0701016692
VA
101YM0800X
Mental Health Counselor
37PC01232200
NJ
101YM0800X
Mental Health Counselor
PC014025
PA
Other
Enumeration date
11/08/2019
Last updated
08/31/2026
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