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Individual

CHRISTIANA LYNN RIVERA-MAGDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCA

Contact information

Practice address
828 FEDERAL RD STE B, BROOKFIELD, CT 06804-1847
(800) 611-0185
(800) 930-5241
Mailing address
169 CROSS ST, NAUGATUCK, CT 06770-4729
(203) 954-7785

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor

Other

Enumeration date
09/25/2024
Last updated
09/25/2024
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