Individual
JENNICELE RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APC
Contact information
Practice address
1400 BUFORD HWY STE C1, BUFORD, GA 30518-8722
(470) 238-9881
Mailing address
110 MANOR WAY, BRASELTON, GA 30517-3579
(770) 990-0000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC016093
GA
Other
Enumeration date
10/26/2024
Last updated
12/18/2025
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