Individual
KEILA ENID RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
227 PINE ST, HOLYOKE, MA 01040-4002
(413) 426-0986
Mailing address
227 PINE ST, HOLYOKE, MA 01040-4002
(413) 426-0986
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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