Guillermo Rivera
Guillermo Rivera is a Counselor in Davenport, Florida. Licensed in Florida. Registered with an NPI since 2016.
- Licensed in
- FL
- In the registry since
- 2016
- Specialties on file
- 3
Practice location Address checks out
130 Claire LnDavenport, FL 33837-3207
Phone: (407) 989-3834
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X · Licence CBHCM102678 (FL) |
|---|---|
| Counselor | Taxonomy 101Y00000X (FL) |
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1528416625 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 31, 2016 |
| Last updated in NPPES | February 15, 2022 |
| Certification date | February 15, 2022 |
| Mailing address | 130 Claire Ln, Davenport, FL 33837-3207 |
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