Individual
SANDRA D RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC IT
Contact information
Practice address
130 E WALNUT ST, SUITE 706, GREEN BAY, WI 54301-4239
(920) 437-8256
(920) 437-1188
Mailing address
130 E WALNUT ST, SUITE 706, GREEN BAY, WI 54301-4239
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3423-226
WI
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
About Stedi
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