Sandra D Rivera, LPC IT
Counselor, Mental Health in Green Bay, WI. Individual provider (NPI-1).
NPI number1982153318
StatusActive
Last updated in NPPESSep 27, 2016
Details
- NPI
- 1982153318
- Entity type
- Individual (NPI-1)
- Name
- Sandra D Rivera
- Credential
- LPC IT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2016
- Last updated
- Sep 27, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 3423-226 | WI | Yes |
Practice location
130 E Walnut StSuite 706
Green Bay, WI 54301-4239
Phone 920-437-8256 · Fax 920-437-1188
Mailing address
130 E Walnut StSuite 706
Green Bay, WI 54301-4239
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All 85 Mental Health Counselor providers in Green Bay · All 5,539 providers in Green Bay
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