Provider Demographics
NPI:1588362248
Name:RIVERA, LINDA L (LPC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:L
Last Name:RIVERA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TERR DE CUPEY J25 CALLE 2
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-3249
Mailing Address - Country:US
Mailing Address - Phone:787-525-7549
Mailing Address - Fax:
Practice Address - Street 1:TERR DE CUPEY J25 CALLE 2
Practice Address - Street 2:
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976-3249
Practice Address - Country:US
Practice Address - Phone:787-525-7549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-21
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health