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Individual

JASMINE ARIEL RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LGPC

Contact information

Practice address
1707 ROSEMONT AVE, FREDERICK, MD 21702-4135
(240) 347-2581
Mailing address
6478 CORNWALL DR UNIT 25, ELDERSBURG, MD 21784-6694

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC11420
MD
101YP2500X
Professional Counselor
LGP9483
MD

Other

Enumeration date
04/22/2019
Last updated
11/26/2023
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