Individual
EMANUEL RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 5TH AVE S STE 523, LA CROSSE, WI 54601-4018
(608) 397-0192
(608) 782-4426
Mailing address
115 5TH AVE S STE 523, LA CROSSE, WI 54601-4018
(608) 782-4426
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7448-226
WI
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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