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Individual

JORGE ENRIQUE RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
304 ROOSEVELT CALLE SOLDADO HECTOR SALAMAN, SAN JUAN, PR 00918-2348
(787) 377-3584
Mailing address
20 NARRAGANSETT ST APT 1, SPRINGFIELD, MA 01107-1776
(787) 377-3584
(413) 363-2319

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2620
PR
101YP2500X
Professional Counselor
3747
CT
103T00000X
Psychologist
6419
PR
103TC0700X
Clinical Psychologist
6419
PR

Other

Enumeration date
11/14/2017
Last updated
07/30/2020
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