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Individual
NICOLE S STELIVAN
Active
Individual
NICOLE S STELIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC, LPC-A
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
84215
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
10565
TX
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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