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LENNY RIVERA LCSW 80928

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1922449602

Individual Registrant:
 LENNY  RIVERA LCSW 80928
Gender: F
Sole Proprietor

Location and contact information for practice:
3200 MOTOR AVE.  LOS ANGELES, CO 90034 US
Tel: 310-836-1223  Fax: --

Contact information for business:
5453 HOMESIDE AVE  LOS ANGELES, CA 90016-3711 US
Tel: 310-429-4135  Fax: --

Registration Information:
NPI: 1922449602
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CALCSW80928

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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