CARLOS RIVERA

MADISON, WI
NPI1841974961
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  20237-130)
Enumeration Date2023-06-09
Last Update Date2023-06-09
Business Address
CARLOS RIVERA
3113 E WASHINGTON AVE
MADISON, WI 53704-4330
Phone number: 608-416-5777
Mailing Address
CARLOS RIVERA
4972 CHRISTY CIR
ROCKFORD, IL 61114-7356
Phone number:
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