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Individual

DAVID RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, LCADC

Contact information

Practice address
615 PARKSIDE AVE, TOMS RIVER, NJ 08753-7231
(732) 616-8895
Mailing address
615 PARKSIDE AVE, TOMS RIVER, NJ 08753-7231
(732) 616-8895

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00366500
NJ
101YP2500X
Professional Counselor
Primary
37PC00860400
NJ

Other

Enumeration date
07/17/2023
Last updated
07/17/2023
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