Rivero, Jesus Rene

Rivero, Jesus Rene is an individual health care provider with primary practice located at 206 Park Place Blvd , Kissimmee FL 34741-2344. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Rivero, Jesus Rene can be contacted via phone (407) 846-0023.

Contact Information

Primary practice address
206 Park Place Blvd Kissimmee FL 34741-2344
Phone: (407) 846-0023
Fax: (407) 483-1064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 6492 Florida

Profile Details

NPI number 1689618605
LBN Legal business name Rivero, Jesus Rene
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jul 8th, 2007 - about 17 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 1689618605 NPPES
Florida Other Z082W BCBS

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