Individual
NICHOLAS D BIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9545 KATY FWY STE 425, HOUSTON, TX 77024-1471
(713) 208-0383
Mailing address
23303 FALL WIND CT, KATY, TX 77494-2133
(713) 208-0383
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
44905
TX
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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