Individual provider · Type 1 NPI
Jose Luis Rivera Jr.
Counselor · New Haven, CT
NPI number
1144809880
Active
Practice location
458 Grand Ave
New Haven, CT 06513-3856
Mailing address
89 Center St Fl 2
Bridgeport, CT 06604-3312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1144809880
Jose Luis Rivera Jr.'s National Provider Identifier is 1144809880, issued on Apr 7, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in New Haven, CT. The record was last updated on Apr 7, 2021.