| Doctor Name: | MS. ELIZABETH RIVERA |
| NPI Number: | 1497927578 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | |
| Business Practice Address: | 968 Kings Hwy Apt. V-24 West Deptford, NJ - 080869333 |
| Business Phone Number: | 8562374476 |
| Business Fax Number: | |
| Mailing Address: | 3804 Church Rd, MOUNT LAUREL |
| State: | NJ |
| Postal Code: | 080541106 |
| Phone Number: | 8562374476 |
| Fax Number: | |
| NPI Enumeration Date: | 03/28/2008 |
| NPI Last Update Date: | 12/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |