Provider Demographics
NPI:1639689045
Name:MOTTOR-RIVERA, CAROLYN A (MA, LPC, CAADC)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:A
Last Name:MOTTOR-RIVERA
Suffix:
Gender:F
Credentials:MA, LPC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 W LIBERTY ST STE 111
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-2766
Mailing Address - Country:US
Mailing Address - Phone:717-690-2770
Mailing Address - Fax:717-869-4731
Practice Address - Street 1:313 W LIBERTY ST STE 111
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2766
Practice Address - Country:US
Practice Address - Phone:717-690-2770
Practice Address - Fax:717-869-4731
Is Sole Proprietor?:No
Enumeration Date:2017-10-11
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)