Individual
LAMONT RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
29381 CASAC-T
Contact information
Practice address
69 W 225TH ST APT 3D, BRONX, NY 10463-7005
(347) 502-9772
Mailing address
69 W 225TH ST, BRONX, NY 10463-7004
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
29381
NY
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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