Individual
EDGAR JOSUE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACSW
Contact information
Practice address
3727 SUNSET LN STE 110, ANTIOCH, CA 94509-6134
(925) 778-1667
Mailing address
3727 SUNSET LN STE 110, ANTIOCH, CA 94509-6134
(925) 778-1667
(925) 778-2820
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
105638
CA
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
105638
CA
Other
Enumeration date
01/26/2010
Last updated
04/26/2023
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