Individual provider · Type 1 NPI
Roberto Riveros, PhD, LPC
Counselor · Decatur, GA
NPI number
1265663140
Active
Practice location
235 E. Ponce De Leon, Suite 120
Decatur, GA 30030
Fax (678) 985-4296
Mailing address
235 E Ponce De Leon Ave, Suite 120
Decatur, GA 30030-3452
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | LPC004905 (GA) |
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 1265663140
Roberto Riveros, PhD, LPC's National Provider Identifier is 1265663140, issued on Jul 27, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Decatur, GA. The record was last updated on Jul 27, 2009.