Individual
CHANTELL RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 CONSTITUTION AVE, BAYONNE, NJ 07002-5074
(917) 332-9377
Mailing address
300 CONSTITUTION AVE, BAYONNE, NJ 07002-5074
(917) 332-9377
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00590600
NJ
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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