Individual
DIEGO RIVERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13817 VILLAGE MILL DR STE R, MIDLOTHIAN, VA 23114-4378
(571) 934-3936
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0704017047
VA
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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