Individual
MALISSA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
118 N ELLWOOD AVE, BALTIMORE, MD 21224-1307
(646) 705-3659
Mailing address
118 N ELLWOOD AVE, BALTIMORE, MD 21224-1307
(646) 705-3659
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP17371
MD
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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