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Organization
OLIVE BRANCH COUNSELING SERVICES LLC
Active
Organization
OLIVE BRANCH COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA AYERS LCSW (OWNER)
(860) 921-3417
Entity
Organization
Contact information
Practice address
75 WOODFORD AVENUE EXT APT 1, PLAINVILLE, CT 06062-2561
(860) 921-3417
Mailing address
75 WOODFORD AVENUE EXT APT 1, PLAINVILLE, CT 06062-2561
(860) 921-3417
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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