Individual provider · Type 1 NPI

Susan Alexandra Rivera, LCPC

Professional Counselor · Chicago, IL

NPI number 1104540335 Active

Practice location

1713 S Ashland Ave
Chicago, IL 60608-2014

Mailing address

1105 S Western Ave
Chicago, IL 60612-4146

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.016392 (IL)

Professional Counselor: Definition to come...

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About NPI 1104540335

Susan Alexandra Rivera, LCPC's National Provider Identifier is 1104540335, issued on Sep 30, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Dec 4, 2024.