person
Bobby Gordon Nieman, LPC
Professional Counselor in Hurst, Texas
NPI 1558456913

Bobby Gordon Nieman is a Professional Counselor based in Irving, TX and is specialized in Professional. Bobby Gordon Nieman practices in Hurst, TX and has the professional credentials of LPC. The NPI Number for Bobby Gordon Nieman is 1558456913 and holds a License No. 11725 (Texas).

The current practice location address for Bobby Gordon Nieman is 1500 Norwood Dr Ste 205B, Hurst, TX and can be reached out via phone at 817-729-6333 and via fax at 817-282-1683.

Location: 1500 Norwood Dr Ste 205B, Hurst, TX, 75060-2004
person
Provider Profile Details
NPI Number
1558456913
Provider Name
Bobby Gordon Nieman
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1500 Norwood Dr Ste 205B, Hurst, TX, 75060-2004
Phone Number
817-729-6333
Fax Number
817-282-1683
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LP0008546 05 TX
221762 01 CA MANAGED HEALTH NETWORK
2253LC 01 TX BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1500 Norwood Dr Ste 205B
City
State
Zip
76054-3644
Phone Number
817-729-6333
Fax Number
817-282-1683
person
Provider Business Mailing Address Details
Address
1500 Norwood Dr Ste 205B
City
State
Zip
76054-3644
Phone Number
817-729-6333
Fax Number
817-282-1683
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
11725 (Texas)
Definition
Definition to come...
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