Individual
ANGELA D. OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
244 TUNE DRIVE, EL PRADO, NM 87529
(575) 751-9858
(575) 751-9858
Mailing address
PO BOX 278, EL PRADO, NM 87529-0278
(575) 751-9858
(575) 613-1506
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
I-06235
NM
1041C0700X
Clinical Social Worker
Primary
C-06235
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99881365
—
NM
Enumeration date
08/13/2007
Last updated
07/21/2022
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