Individual
VANESSA NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
309 PROGRESS DR, BURGAW, NC 28425-3280
(910) 259-0668
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12525A
NC
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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