Amanda June Rivera
Counselor in Springfield, MA. Individual provider (NPI-1).
NPI number1366136293
StatusActive
Last updated in NPPESJun 5, 2023
Details
- NPI
- 1366136293
- Entity type
- Individual (NPI-1)
- Name
- Amanda June Rivera
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 5, 2023
- Certification date
- Jun 5, 2023
- Last updated
- Jun 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
332 Birnie AveSpringfield, MA 01107-1104
Phone 413-733-6624
Mailing address
332 Birnie AveSpringfield, MA 01107-1104
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