Individual
DR. AGUSTIN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D; MC; CLERGY
Contact information
Practice address
115 E LANCASTER RD, ORLANDO, FL 32809-6689
(863) 582-9899
Mailing address
17906 WOODCREST WAY, CLERMONT, FL 34714-5906
(863) 420-9899
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PHM 1453
FL
101YP1600X
Pastoral Counselor
1702-002
FL
106H00000X
Marriage & Family Therapist
557
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001A-1005
TRAUMATOLOGY
PR
01
—
2543
DIPLOMATE AMERICAN BOARD OF SEXOLOGY
FL
01
—
802042738
CHILDREN'S FUNCTIONAL ASSESMENT RATING SCALE
FL
01
—
805036272
FUNCTIONAL ASSESSMENT RATING SCALE
FL
01
—
CEP 15893
SEXUAL ASSAULT FORENSIC EXAMINER TRAINING
CA
01
—
COURSE 20-32231
QUALIFIED SUPERVISOR TRAINING
FL
01
—
MFT 557
MARRIAGE AND FAMILY COUNSELING
PR
01
—
P852 NAADA
PROFESSIONAL CERTIFICATE IN COUNSELING ADDICTIVE DISORDERS AND MENTAL HEALTH
FL
01
—
PHM 1453
MENTAL HEALTH COUNSELOR
FL
01
—
XXXX
MEDICAL DOCTOR
PR
Enumeration date
02/25/2016
Last updated
04/02/2019
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