Provider Demographics
NPI:1861666901
Name:VIERA, MARC DAVID (LMHC, LADC I)
Entity Type:Individual
Prefix:MR
First Name:MARC
Middle Name:DAVID
Last Name:VIERA
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Gender:M
Credentials:LMHC, LADC I
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Mailing Address - Street 1:52 BRIGHAM ST STE 5
Mailing Address - Street 2:SUITE #5
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-2210
Mailing Address - Country:US
Mailing Address - Phone:508-993-8332
Mailing Address - Fax:508-993-1024
Practice Address - Street 1:52 BRIGHAM ST STE 5
Practice Address - Street 2:SUITE #5
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-2210
Practice Address - Country:US
Practice Address - Phone:508-993-8332
Practice Address - Fax:508-993-1024
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-19
Last Update Date:2015-09-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA8676101YM0800X
MA2402101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)