Individual
MRS. AMY MARIE NELSON RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C.
Contact information
Practice address
85 GOLF CREST DR, SUITE 309, ACWORTH, GA 30101-2698
(404) 918-0816
(404) 601-7495
Mailing address
85 GOLF CREST DR, SUITE 309, ACWORTH, GA 30101-2698
(404) 918-0816
(404) 601-7495
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004629
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095860337A
—
GA
Enumeration date
09/17/2006
Last updated
01/29/2015
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