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Individual

DANA RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
6601 N AVONDALE AVE, SUITE 101, CHICAGO, IL 60631-1572
(773) 774-4444
(773) 774-4447
Mailing address
6601 N AVONDALE AVE, SUITE 101, CHICAGO, IL 60631-1572
(773) 774-4444
(773) 774-4447

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.009952
IL
101YP2500X
Professional Counselor
Primary
180.010547
IL

Other

Enumeration date
07/17/2016
Last updated
09/15/2016
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