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Individual
OLLIVIA S QUEEN
Active
Individual
OLLIVIA S QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.193582
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.197063
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/22/2025
Last updated
08/28/2026
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