Individual
MS. KIMBERLYN DARCELL RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, MSW
Contact information
Practice address
1315 WINDRIM AVE, PHILADELPHIA, PA 19141-2710
(215) 456-2721
(215) 456-2713
Mailing address
1315 WINDRIM AVE, PHILADELPHIA, PA 19141-2710
(215) 456-2721
(215) 456-2713
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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