Individual
BETHSAIDA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
285 GRAND AVE, ENGLEWOOD, NJ 07631-4369
(551) 353-5435
Mailing address
285 GRAND AVE, ENGLEWOOD, NJ 07631-4369
(551) 353-5435
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00260900
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00260900
—
101YM0800X
Mental Health Counselor
37PC01232200
NJ
101YM0800X
Mental Health Counselor
PC014025
PA
Other
Enumeration date
11/08/2019
Last updated
02/20/2026
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