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Organization

MICHAEL C RIVERA LPC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL C RIVERA MA, LPC-A (OWNER)
(337) 853-1786
Entity
Organization

Contact information

Practice address
620 SAINT JOSEPH ST, ELTON, LA 70532-3248
(337) 853-1786
Mailing address
620 SAINT JOSEPH ST, ELTON, LA 70532-3248
(337) 853-1786

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6915724
LA
Enumeration date
12/10/2024
Last updated
03/23/2025
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