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Dr. Agustin Rivera, MD;MC;CLERGY
Mental Health Counselor in Orlando, Florida
NPI 1508226101

Agustin Rivera is a Mental Health Counselor based in Clermont, FL and is specialized in Mental Health. Agustin Rivera practices in Orlando, FL and has the professional credentials of MD;MC;CLERGY. The NPI Number for Agustin Rivera is 1508226101 and holds a License No. 1702-002 (Florida).

The current practice location address for Agustin Rivera is 115 E Lancaster Rd, Orlando, FL and can be reached out via phone at 863-582-9899.

Location: 115 E Lancaster Rd, Orlando, FL, 34714-5906
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Provider Profile Details
NPI Number
1508226101
Provider Name
Agustin Rivera
Credential
MD;MC;CLERGY
Provider Entity Type
Individual
Gender
Male
Address
115 E Lancaster Rd, Orlando, FL, 34714-5906
Phone Number
863-582-9899
Fax Number
Provider Enumeration Date
02/25/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
805036272 01 FL FUNCTIONAL ASSESSMENT RATING SCALE
1001A-1005 01 PR TRAUMATOLOGY
802042738 01 FL CHILDREN'S FUNCTIONAL ASSESMENT RATING SCALE
CEP 15893 01 CA SEXUAL ASSAULT FORENSIC EXAMINER TRAINING
MFT 557 01 PR MARRIAGE AND FAMILY COUNSELING
XXXX 01 PR MEDICAL DOCTOR
COURSE 20-32231 01 FL QUALIFIED SUPERVISOR TRAINING
P852 NAADA 01 FL PROFESSIONAL CERTIFICATE IN COUNSELING ADDICTIVE DISORDERS AND MENTAL HEALTH
PHM 1453 01 FL MENTAL HEALTH COUNSELOR
2543 01 FL DIPLOMATE AMERICAN BOARD OF SEXOLOGY
institution
Provider Business Practice Location Address Details
Address
115 E Lancaster Rd
City
State
Zip
32809-6689
Phone Number
863-582-9899
Fax Number
person
Provider Business Mailing Address Details
Address
115 E Lancaster Rd
City
State
Zip
32809-6689
Phone Number
863-582-9899
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PHM 1453 (Florida)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
557 ()
Definition
Definition to come...
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Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
License No.
1702-002 (Florida)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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