Individual
MRS. SHERISA SHALENE BANTON RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 CLARE AVE STE 5, WEST PALM BEACH, FL 33401-6219
(561) 703-2660
Mailing address
1501 BELVEDERE RD STE 500, WEST PALM BEACH, FL 33406-1524
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT4419
FL
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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