Individual provider · Type 1 NPI
Jennifer Regenia Rivers, LPC
Professional Counselor · Lake Ridge, VA
NPI number
1265044697
Active
Practice location
11614 Amara Pl
Lake Ridge, VA 22192-7414
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | PRC14302 (DC) |
| Professional Counselor Primary | 101YP2500X | 0701003755 (VA) |
Professional Counselor: Definition to come...
About NPI 1265044697
Jennifer Regenia Rivers, LPC's National Provider Identifier is 1265044697, issued on Aug 18, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lake Ridge, VA. The record was last updated on Aug 18, 2020.