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Individual

MS. NICOLE TREVINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LCDC

Contact information

Practice address
12631 E CLARK RD, LA FERIA, TX 78559-4528
(956) 343-3879
Mailing address
12631 E CLARK RD, LA FERIA, TX 78559-4528
(956) 343-3879

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14165
TX

Other

Enumeration date
10/21/2020
Last updated
10/21/2020
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