Individual provider · Type 1 NPI

Grace Josephine Rivera, LSW

Mental Health Counselor · Fair Lawn, NJ

NPI number 1841702966 Active

Practice location

17-07 Romaine St
Fair Lawn, NJ 07410-2150

Fax (201) 797-5025

Mailing address

577 Schaefer Ave
Oradell, NJ 07649-2517

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X44SL06321500 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1841702966

Grace Josephine Rivera, LSW's National Provider Identifier is 1841702966, issued on Oct 30, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fair Lawn, NJ. The record was last updated on Oct 30, 2017.