NPI | 1992196653 |
---|---|
Professional Name | NICK TIEKEN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 9739-C) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07010-LC) |
Enumeration Date | 2015-02-16 |
Last Update Date | 2022-02-09 |