| Rivera Wellness, Llc | |
|
6478 Cornwall Dr Unit 25 Eldersburg MD 21784-6694 | |
| (240) 366-7724 | |
| Not Available |
| Full Name | Rivera Wellness, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6478 Cornwall Dr Unit 25, Eldersburg, Maryland |
| Authorized Official Name and Position | Jasmine Ariel Rivera (OWNER, THERAPIST) |
| Authorized Official Contact | 2403667724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rivera Wellness, Llc 6478 Cornwall Dr Unit 25 Eldersburg MD 21784-6694 Ph: () - | Rivera Wellness, Llc 6478 Cornwall Dr Unit 25 Eldersburg MD 21784-6694 Ph: (240) 366-7724 |
| NPI Number | 1912773557 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912773557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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