Individual provider · Type 1 NPI

Keisa Rivera

Addiction (Substance Use Disorder) Counselor · Roxbury, MA

NPI number 1164896502 Active

Practice location

245 Eustis St
Roxbury, MA 02119-2826

Call (617) 445-1123 Map

Mailing address

302 Eustis St
Roxbury, MA 02119-3800

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1164896502

Keisa Rivera's National Provider Identifier is 1164896502, issued on Nov 23, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roxbury, MA. The record was last updated on Nov 23, 2015.