Individual
ASHLEY RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
255 WINTER RIDGE BLVD, WINTER HAVEN, FL 33881-5802
(863) 594-4120
Mailing address
255 WINTER RIDGE BLVD, WINTER HAVEN, FL 33881-5802
(863) 594-4120
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TF0000X
Family Psychologist
—
—
103TS0200X
School Psychologist
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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