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Individual

OLIVIA CHEYENNE BURRIS

Active
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Individual

OLIVIA CHEYENNE BURRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCDCII

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.1860013
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.162203
OH

Other

Enumeration date
10/06/2023
Last updated
04/08/2026
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