Individual
TARA RIVERSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
685 BLOOMFIELD AVE, STE 201, VERONA, NJ 07044-1630
(973) 239-0948
(973) 239-0972
Mailing address
685 BLOOMFIELD AVE, STE 201, VERONA, NJ 07044-1630
(973) 239-0948
(973) 239-0972
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00400400
NJ
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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