Individual
DR. NATHANIEL NICHOLAS IVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LPC, NCC
Contact information
Practice address
4780 WESTCHESTER RD, WINSTON SALEM, NC 27103-1223
(336) 972-2022
Mailing address
556 COVINGTON RIDGE RD, WINSTON SALEM, NC 27107-7694
(336) 972-2022
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7327
NC
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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