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Individual
JUAN OLIVERA
Active
Individual
JUAN OLIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, LCDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15657
TX
101YP2500X
Professional Counselor
Primary
82382
TX
Other
Enumeration date
03/08/2021
Last updated
11/24/2024
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