De Leon Rivera, Johanniss M

De Leon Rivera, Johanniss M is an sole proprietor health care provider with primary practice located at 2800 Wadeview Loop , Saint Cloud FL 34769-6534. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. De Leon Rivera, Johanniss M can be contacted via phone (407) 480-8743.

Contact Information

Primary practice address
2800 Wadeview Loop Saint Cloud FL 34769-6534
Phone: (407) 480-8743
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1164288817
LBN Legal business name De Leon Rivera, Johanniss M
Credentials DCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2024
Last updated Feb 21st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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