Individual
MR. DAVID W IVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.D.C.
Contact information
Practice address
4800 MEMORIAL DR, WACO, TX 76711-1329
(254) 297-3301
Mailing address
721 HIGHLAND PARK WAY, CHINA SPRING, TX 76633-4561
(254) 749-3935
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3294
TX
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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