Individual
SONIA BEATRIZ NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16220 FREDERICK RD, GAITHERSBURG, MD 20877-4039
(240) 606-5352
Mailing address
13207 DUTROW DR, CLARKSBURG, MD 20871-4345
(240) 606-5352
(301) 916-4161
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA203
MD
Other
Enumeration date
08/23/2009
Last updated
08/23/2009
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