Individual
MRS. DENISE LOUISE RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1127 N OAKLEY BLVD, 3RD FL, CHICAGO, IL 60622-3507
(312) 770-3406
(312) 770-2557
Mailing address
1012 N DRAKE AVE, 2ND FL, CHICAGO, IL 60651-4012
(773) 276-4364
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262171079
—
IL
Enumeration date
01/07/2013
Last updated
01/07/2013
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