Provider Demographics
NPI:1790364958
Name:RIVERA, NILDA MARGARITA (LPC)
Entity Type:Individual
Prefix:
First Name:NILDA
Middle Name:MARGARITA
Last Name:RIVERA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:NILDA
Other - Middle Name:
Other - Last Name:RAFTOPOULOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:177 NEW RD
Mailing Address - Street 2:
Mailing Address - City:MONTAGUE
Mailing Address - State:NJ
Mailing Address - Zip Code:07827-3420
Mailing Address - Country:US
Mailing Address - Phone:973-756-7810
Mailing Address - Fax:
Practice Address - Street 1:177 NEW RD
Practice Address - Street 2:
Practice Address - City:MONTAGUE
Practice Address - State:NJ
Practice Address - Zip Code:07827-3420
Practice Address - Country:US
Practice Address - Phone:973-756-7810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional