Individual
JESSICA ISABEL RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
29 EDGEWOOD DR, GRAFTON, OH 44044-1521
(440) 840-1943
Mailing address
29 EDGEWOOD DR, GRAFTON, OH 44044-1521
(440) 840-1943
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I.1800833-SUPR
OH
Other
Enumeration date
11/11/2020
Last updated
07/06/2023
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