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Edwin Rivera JR.
Professional Counselor in Suwanee, Georgia
NPI 1720785983

Edwin Rivera JR. is a Professional Counselor based in Suwanee, GA and is specialized in Professional. Edwin Rivera JR. practices in Suwanee, GA. The NPI Number for Edwin Rivera JR. is 1720785983 and holds a License No. APC007538 (Georgia).

The current practice location address for Edwin Rivera JR. is 5050 Research Ct Ste 800, Suwanee, GA and can be reached out via phone at 678-749-7600.

Location: 5050 Research Ct Ste 800, Suwanee, GA, 30024-6606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720785983
Provider Name
Edwin Rivera JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
5050 Research Ct Ste 800, Suwanee, GA, 30024-6606
Phone Number
678-749-7600
Fax Number
Provider Enumeration Date
02/08/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
5050 Research Ct Ste 800
City
Suwanee
State
Georgia
Zip
30024-6606
Phone Number
678-749-7600
Fax Number
person
Provider Business Mailing Address Details
Address
5050 Research Ct Ste 800
City
Suwanee
State
Georgia
Zip
30024-6606
Phone Number
678-749-7600
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LPC014547 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
APC007538 (Georgia)
Definition
Definition to come...
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