Individual
MARCIE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
47 COIT ST, NEW LONDON, CT 06320-5924
(860) 447-1717
Mailing address
47 COIT ST, NEW LONDON, CT 06320-5924
(860) 447-1717
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CT
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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