Individual
EDWIN RIVERA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5050 RESEARCH CT STE 800, SUWANEE, GA 30024-6606
(678) 749-7600
Mailing address
5050 RESEARCH CT STE 800, SUWANEE, GA 30024-6606
(678) 749-7600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APC007538
GA
101YP2500X
Professional Counselor
Primary
LPC014547
GA
Other
Enumeration date
02/08/2023
Last updated
02/19/2024
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