Individual
YAZMIN ALYSSA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
8800 49 ST N, PINELLAS PARK, FL 33782
(727) 544-0044
Mailing address
8800 49TH ST N, PINELLAS PARK, FL 33782-5353
(727) 544-0044
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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