Individual
ELIA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, PLMHP
Contact information
Practice address
312 N ELM ST STE 112, GRAND ISLAND, NE 68801
(308) 383-2208
Mailing address
312 N ELM ST STE 112, GRAND ISLAND, NE 68801-4509
(308) 383-2208
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1244
NE
101YM0800X
Mental Health Counselor
Primary
5147
NE
Other
Enumeration date
07/12/2016
Last updated
06/20/2018
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