person
Shane Rivera
Addiction (Substance Use Disorder) Counselor in Commerce, California
NPI 1487015707

Shane Rivera is an Addiction (Substance Use Disorder) Counselor based in Commerce, CA and is specialized in Addiction (Substance Use Disorder). Shane Rivera practices in Commerce, CA. The NPI Number for Shane Rivera is 1487015707 and holds a License No. (California).

The current practice location address for Shane Rivera is 5053 Astor Ave, Commerce, CA and can be reached out via phone at 323-722-4529.

Location: 5053 Astor Ave, Commerce, CA, 90040-1301
person
Provider Profile Details
NPI Number
1487015707
Provider Name
Shane Rivera
Credential
Provider Entity Type
Individual
Gender
Male
Address
5053 Astor Ave, Commerce, CA, 90040-1301
Phone Number
323-722-4529
Fax Number
Provider Enumeration Date
03/14/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02768010 01 CA DRUG MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
5053 Astor Ave
City
State
Zip
90040-1301
Phone Number
323-722-4529
Fax Number
person
Provider Business Mailing Address Details
Address
5053 Astor Ave
City
State
Zip
90040-1301
Phone Number
323-722-4529
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(California)
Definition
Definition to come...
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