Individual
ROGER RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14445 OLIVE VIEW DR, SYLMAR, CA 91342-1437
(747) 210-3000
Mailing address
14149 BUCHER AVE, SYLMAR, CA 91342-1442
(747) 999-4232
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9874
CA
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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