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NPI Code Detail

MEDICARE: ALANA ISABELLA RIVERA

MEDICARE:   ALANA ISABELLA RIVERA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1053938761
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALANA ISABELLA RIVERA
Provider Business Mailing Address
First Line : 3430 MUSKET DR
Second Line :
City : MIDLOTHIAN
State : VA
Zip : 23113-2005
Country : US
Telephone Number : 804-201-6182
Fax Number :
Provider Business Practice Location Address
First Line : 2320 BROAD ROCK BLVD
Second Line :
City : RICHMOND
State : VA
Zip : 23224-4812
Country : US
Telephone Number : 804-276-6767
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2020
Last Update Date : 06/29/2020

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Directions to “ ALANA ISABELLA RIVERA ” Practice Location

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