Individual
JENNIFER RIVERA-ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1508 DESSAU RIDGE LN STE 204, AUSTIN, TX 78754-2190
(512) 585-0830
Mailing address
1508 DESSAU RIDGE LN STE 204, AUSTIN, TX 78754-2190
(512) 585-0830
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
71724
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4037004-02
—
TX
Enumeration date
01/10/2018
Last updated
05/13/2021
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