Individual provider · Type 1 NPI

Jose Lebron-Rivera

Professional Counselor · Enfield, CT

NPI number 1114572468 Active

Practice location

153 Hazard Ave
Enfield, CT 06082-4592

Fax (860) 731-5536

Mailing address

2 Waterside Xing Ste 401
Windsor, CT 06095-1587

Other practice locations

  • 444 Center St, Manchester, CT 06040-3926 · (860) 646-3888

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1114572468

Jose Lebron-Rivera's National Provider Identifier is 1114572468, issued on Aug 5, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Enfield, CT. The record was last updated on Sep 9, 2024.