JEROLD RIVERS

DEER PARK, NY
NPI1972351294
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-05-10
Last Update Date2024-05-10
Business Address
JEROLD RIVERS
770 GRAND BLVD
DEER PARK, NY 11729-5750
Phone number: 631-392-4357
Mailing Address
JEROLD RIVERS
332 HOLBROOK RD
LAKE RONKONKOMA, NY 11779-1815
Phone number: 631-504-7672
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