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Individual
TAMRA E RIVERS
Active
Individual
TAMRA E RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-27291
NC
1041C0700X
Clinical Social Worker
Primary
P016554
NC
106S00000X
Behavior Technician
—
NC
Other
Enumeration date
08/22/2020
Last updated
09/01/2026
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