Individual
BRENDALIS MARIE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1895 E DIXON BLVD, SHELBY, NC 28152-6901
(980) 484-9695
Mailing address
1895 E DIXON BLVD, SHELBY, NC 28152-6901
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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