Individual
MARTIN NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
1456 SIERRA SPRINGS DR, APT 811, BEDFORD, TX 76021-7646
(817) 717-4983
(817) 717-4983
Mailing address
1456 SIERRA SPRINGS DR, APT 811, BEDFORD, TX 76021-7646
(817) 717-4983
(817) 717-4983
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
13296
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13296
TX
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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