Individual
MS. CANDITA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
26 GROVE ST, KINGSTON, NY 12401-3334
(845) 331-1448
(845) 334-8590
Mailing address
26 GROVE ST, KINGSTON, NY 12401-3334
(845) 331-1448
(845) 334-8590
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21169
NY
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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