Individual
DERIO MARC RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
Contact information
Practice address
18 WILD ROSE RD, WESTPORT, CT 06880-2551
(914) 319-8518
Mailing address
18 WILD ROSE RD, WESTPORT, CT 06880-2551
(914) 319-8518
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4956
CT
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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