Individual
MR. JEROME C. RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC-S, LIMFT
Contact information
Practice address
4582 LEE RD, CLEVELAND, OH 44128-3759
(216) 475-2112
(216) 475-2120
Mailing address
PO BOX 281081, CLEVELAND, OH 44128-8181
(216) 475-2112
(216) 475-2120
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
E0004292
OH
106H00000X
Marriage & Family Therapist
Primary
F0000120
OH
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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