Individual
ILIANA ROSEMARIE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
327 SOCRATES ST, NEW ORLEANS, LA 70114-5812
(504) 435-0165
Mailing address
327 SOCRATES ST, NEW ORLEANS, LA 70114-5812
(504) 435-0165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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