Individual
MICHELLE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT PERMIT PENDING
Contact information
Practice address
579 COURTLANDT AVE, BRONX, NY 10451-5013
(718) 485-2100
(718) 485-2101
Mailing address
2154 BRUCKNER BLVD, APT. 2, BRONX, NY 10473-1301
(347) 398-0663
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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