Rivera, Jacquelyn Lee

Rivera, Jacquelyn Lee is an individual health care provider with primary practice located at 111 N La Brea Ave Ste 700 , Inglewood CA 90301-4651. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Technician, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Rivera, Jacquelyn Lee can be contacted via phone (310) 677-7808.

Contact Information

Primary practice address
111 N La Brea Ave Ste 700 Inglewood CA 90301-4651
Phone: (310) 677-7808
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Technician 374700000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS27113 California

Profile Details

NPI number 1811028871
LBN Legal business name Rivera, Jacquelyn Lee
Credentials LCSW, PPSC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Aug 11th, 2011 - about 15 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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