Individual
EDITH RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
695 S STATE ST, ELGIN, IL 60123-7673
(847) 931-6200
Mailing address
695 S STATE ST, ELGIN, IL 60123-7673
(847) 931-6200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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