Individual
RIVA COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICDC
Contact information
Practice address
8411 BROADWAY AVE, CLEVELAND, OH 44105-3932
(216) 206-5201
(216) 441-3637
Mailing address
8411 BROADWAY AVE, CLEVELAND, OH 44105-3932
(216) 206-5201
(216) 441-3637
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ICDC.121088
OH
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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