Individual
ROXANA RIVAS-HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3205 S CHEROKEE LN STE 130, WOODSTOCK, GA 30188-5402
(770) 300-7850
Mailing address
361 HERITAGE PARK TRCE NW, KENNESAW, GA 30144-4832
(404) 429-2811
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MSW011545
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962937391
NPI
NY
Enumeration date
05/28/2024
Last updated
05/28/2024
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