Individual
MISS MARIA TERESA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
5220 4TH AVE, BROOKLYN, NY 10303
(347) 636-0071
Mailing address
5220 4TH AVE, BROOKLYN, NY 11220
(347) 636-0071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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