Individual provider · Type 1 NPI

Jasmine Rivera

Addiction (Substance Use Disorder) Counselor · Bloomington, CA

NPI number 1245064369 Active

Practice location

18612 Santa Ana Ave
Bloomington, CA 92316-2639

Call (909) 421-7120 Map

Mailing address

2212 S Augusta Pl
Ontario, CA 91761-5770

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1245064369

Jasmine Rivera's National Provider Identifier is 1245064369, issued on Aug 30, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bloomington, CA. The record was last updated on Mar 25, 2026.