Individual
ANDREA CRISTINA RIVADENEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
1046 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1116
(203) 332-3119
Mailing address
26 ADAMSON AVE UNIT A, NORWALK, CT 06854-4602
(203) 391-8064
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4479
CT
101YP2500X
Professional Counselor
Primary
4479
CT
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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