Individual
SAMANTHA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
7132 N HARLEM AVE STE 102, CHICAGO, IL 60631-1086
(224) 764-0871
Mailing address
7132 N HARLEM AVE STE 102, CHICAGO, IL 60631-1086
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.018584
IL
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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