JEANICE ANTOINETTE RIVERA

NORTHRIDGE, CA
NPI1437832144
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-08-09
Last Update Date2023-08-09
Business Address
JEANICE ANTOINETTE RIVERA
8556 NEWCASTLE AVE
NORTHRIDGE, CA 91325-3820
Phone number: 818-996-1051
Mailing Address
JEANICE ANTOINETTE RIVERA
18646 OXNARD ST
TARZANA, CA 91356-1486
Phone number:
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