Roberto Riveros, PhD, LPC
Counselor in Decatur, GA. Individual provider (NPI-1).
NPI number1265663140
StatusActive
Last updated in NPPESJul 27, 2009
Details
- NPI
- 1265663140
- Entity type
- Individual (NPI-1)
- Name
- Mr. Roberto Riveros
- Credential
- PhD, LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 27, 2009
- Last updated
- Jul 27, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | LPC004905 | GA | Yes |
Other names
- Roberto Riveros (Other Name)
Practice location
235 E. Ponce De LeonSuite 120
Decatur, GA 30030
Phone 770-962-7508 · Fax 678-985-4296
Mailing address
235 E Ponce De Leon AveSuite 120
Decatur, GA 30030-3452
Phone 770-962-7508 · Fax 678-985-4296
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