Individual
KATHERINE DENISE NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
826 DELAWARE AVE, FOUNTAIN HILL, PA 18015-1174
(610) 419-3101
Mailing address
826 DELAWARE AVE, FOUNTAIN HILL, PA 18015-1174
(610) 419-3101
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2203
—
PA
Enumeration date
03/17/2022
Last updated
03/17/2022
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