Individual
OSVALDO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC I
Contact information
Practice address
774 ALBANY ST, BOSTON, MA 02118-2520
(617) 534-4222
Mailing address
1010 MASSACHUSETTS AVE, BOSTON, MA 02118-2600
(617) 534-3134
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0149
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1867
MA
Other
Enumeration date
06/24/2010
Last updated
02/10/2020
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