Individual
MARGARITA RIVERA LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 W MARQUETTE RD, CHICAGO, IL 60629-1817
(773) 349-8044
(312) 655-0678
Mailing address
2601 W MARQUETTE RD, CHICAGO, IL 60629-1817
(773) 349-8044
(312) 655-0678
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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