Individual
KAREN L MALDONADO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA, QMHS, CMS
Contact information
Practice address
2173 N RIDGE RD E STE E, LORAIN, OH 44055-3400
(440) 260-8300
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 234-2006
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA173758
OH
171M00000X
Case Manager/Care Coordinator
—
OH
172V00000X
Community Health Worker
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163827
LICENSE
OH
Enumeration date
06/05/2017
Last updated
07/23/2025
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