Provider Demographics
NPI:1215545231
Name:NEVINS, DANIEL GERARD (LCMHCA)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:GERARD
Last Name:NEVINS
Suffix:
Gender:M
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 CUMBERLAND AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1712
Mailing Address - Country:US
Mailing Address - Phone:828-281-0720
Mailing Address - Fax:828-641-9631
Practice Address - Street 1:110 CUMBERLAND AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1712
Practice Address - Country:US
Practice Address - Phone:828-281-0720
Practice Address - Fax:828-641-9631
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-15
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA15814101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health