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1467042598
NICHOLAS D BIVENS
HOUSTON, TX
NPI
1467042598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 44905)
Enumeration Date
2021-01-22
Last Update Date
2021-01-22
Business Address
NICHOLAS D BIVENS
9545 KATY FWY STE 425
HOUSTON, TX 77024-1471
Phone number: 713-208-0383
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Mailing Address
NICHOLAS D BIVENS
23303 FALL WIND CT
KATY, TX 77494-2133
Phone number: 713-208-0383
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