Individual
GEORGIA NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 E 15TH ST STE C, MERCED, CA 95341-6217
(209) 726-1390
Mailing address
300 E 15TH ST STE C, MERCED, CA 95341-6217
(925) 628-0995
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC17283
CA
Other
Enumeration date
06/05/2017
Last updated
11/25/2025
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