Individual
BRANDI R NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6950 PHILIPS HWY, SUITE 11, JACKSONVILLE, FL 32216-6074
(904) 239-3677
(904) 866-4029
Mailing address
PO BOX 54723, JACKSONVILLE, FL 32245-4723
(904) 239-3677
(904) 866-4029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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