Individual provider · Type 1 NPI

Jorge Rivera, CASAC

Addiction (Substance Use Disorder) Counselor · Staten Island, NY

NPI number 1609032754 Active

Practice location

1688 Victory Blvd
Staten Island, NY 10314-3533

Fax (718) 442-8945

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCASAC (NY)

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

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About NPI 1609032754

Jorge Rivera, CASAC's National Provider Identifier is 1609032754, issued on Jul 29, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Staten Island, NY. The record was last updated on Jul 29, 2008.