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Individual

MISS MARYLYNN NIEVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
41680 IVY ST STE D, MURRIETA, CA 92562-9435
(619) 549-0329
Mailing address
PO BOX 1172, SAN JACINTO, CA 92581-1172
(951) 454-1609

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10527
CA

Other

Enumeration date
11/14/2022
Last updated
11/14/2022
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