Johanniss M De Leon Rivera, DCC

NPI #1164288817 in Saint Cloud, Florida

Provider Information

NPI Number: 1164288817
Entity Type: Individual
Name: Johanniss M De Leon Rivera, DCC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: DCC
Enumeration Date: Feb 21, 2024
Last Updated: Feb 21, 2024

Practice Location

Address: 2800 WADEVIEW LOOP
City: Saint Cloud
State: Florida
ZIP Code: 34769-6534
Phone: (407) 480-8743

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Pastoral — Pastoral	101YP1600X
Counselor	101Y00000X	Primary

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