Jerold Rivers
Jerold Rivers is an Addiction (Substance Use Disorder) Counselor in Deer Park, New York. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
770 Grand BlvdDeer Park, NY 11729-5750
Phone: (631) 392-4357
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1972351294 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 10, 2024 |
| Last updated in NPPES | May 10, 2024 |
| Certification date | May 10, 2024 |
| Mailing address | 332 Holbrook Rd, Lake Ronkonkoma, NY 11779-1815 |
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