Individual
GERARDO RIVERA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LCCA, LPC
Contact information
Practice address
4222 COPPER CRK, BAYTOWN, TX 77521-3084
(346) 710-5557
Mailing address
4222 COPPER CRK, BAYTOWN, TX 77521-3084
(346) 710-5557
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
78580
TX
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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