Individual
ANNETTE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7704 85TH ST, GLENDALE, NY 11385-7613
(646) 429-2191
Mailing address
7704 85TH ST, GLENDALE, NY 11385-7613
(646) 429-2191
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
33048
NY
101YM0800X
Mental Health Counselor
Primary
009840-01
NY
Other
Enumeration date
01/16/2022
Last updated
02/01/2022
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