Most Relevant Information
Provider Data
| NPI Number: | 1003584517 |
| Provider Name: | STEPHANIE RIVERA ACSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 103359 |
Most Important Dates
| Enumeration Date: | 08/31/2021 |
| Last Updated: | 08/31/2021 |
Provider Practice Location
9101 WHITTIER BLVD
PICO RIVERA
CA
906602405
Practice Location Phone/Fax
| Phone: | 5628014642 |
| Fax: |
Provider Mailing Location
9101 WHITTIER BLVD
PICO RIVERA
CA
906602405
Provider Mailing Phone/Fax
| Phone: | 5628014642 |
| Fax: |