Individual
KIMBERLY J RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.A.C, C.C.D.P
Contact information
Practice address
3117 WASHINGTON PIKE, SUITE 200, BRIDGEVILLE, PA 15017-1434
(412) 221-1091
(412) 221-2939
Mailing address
3117 WASHINGTON PIKE, SUITE 200, BRIDGEVILLE, PA 15017-1434
(412) 221-1091
(412) 221-2939
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3180
PENNSYLVANIA CERTIFICATION
PA
01
—
6334
PENNSYLVANIA CERTIFICATION
PA
Enumeration date
03/16/2010
Last updated
03/16/2010
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