Rivera, Laura

Rivera, Laura is an individual health care provider with primary practice located at 11658 Huron St , Northglenn CO 80234-2919. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Rivera, Laura can be contacted via phone (303) 252-4179.

Contact Information

Primary practice address
11658 Huron St Northglenn CO 80234-2919
Phone: (303) 252-4179
Fax: (303) 252-4179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ACA.0007176 Colorado
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPCC.0014817 Colorado

Profile Details

NPI number 1164932265
LBN Legal business name Rivera, Laura
Credentials LPCC, NCC, CAC I, AT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2017
Last updated Oct 3rd, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164932265 NPPES
Colorado MEDICAID NONE

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