Individual
JUAN A RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
1300 AVENUE P, BROOKLYN, NY 11229-1106
(718) 954-3800
(718) 954-3767
Mailing address
65 HILLSIDE AVE, APT # 3F, NEW YORK, NY 10040-2327
(646) 746-1604
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24114
NY
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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