Individual
BRAULIO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CAC III
Contact information
Practice address
1290 S POTOMAC ST, AURORA, CO 80012-4524
(303) 555-1212
Mailing address
980 EVANSTON ST, AURORA, CO 80011
(303) 597-2290
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACC.0007003
CO
101YM0800X
Mental Health Counselor
Primary
LPC.0012921
CO
Other
Enumeration date
09/27/2013
Last updated
07/21/2022
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