Individual
ANNA SUSAN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
171 ARBOR VILLAGE DR, POOLER, GA 31322-5012
(716) 930-1800
Mailing address
171 ARBOR VILLAGE DR, POOLER, GA 31322-5012
(716) 930-1800
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
CSW008827
GA
Other
Enumeration date
02/12/2019
Last updated
10/24/2023
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