Individual
MRS. HEIDI JO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW, CSAC
Contact information
Practice address
113 S FRANKLIN ST, JANESVILLE, WI 53548-3812
(608) 756-4638
Mailing address
113 S FRANKLIN ST, JANESVILLE, WI 53548-3812
(087) 564-6386
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15941
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15941-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
16098-130
WI
104100000X
Social Worker
131330
WI
104100000X
Social Worker
131330-121
WI
Other
Enumeration date
10/26/2010
Last updated
10/03/2022
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