Individual
MR. EDGARDO NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
408 W CHELTEN AVE APT 2R, PHILADELPHIA, PA 19144-4454
(267) 974-3157
Mailing address
408 W CHELTEN AVE APT 2R, PHILADELPHIA, PA 19144-4454
(267) 974-3157
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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