Individual
JENNIFER RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 OLD ROUTE 6, CARMEL, NEW YORK, NY 10512
(845) 225-5202
Mailing address
21 OLD ROUTE 6, CARMEL, NY 10512-2107
(458) 225-5202
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
08/10/2020
Last updated
12/31/2024
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