Individual
ALEXIS NOEMI RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2312 S 12TH AVE, NORTH RIVERSIDE, IL 60546-1138
(708) 466-9053
Mailing address
2312 S 12TH AVE, NORTH RIVERSIDE, IL 60546-1138
(708) 466-9053
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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