Individual
ANDRE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7310 N BOUVIER ST, PHILADELPHIA, PA 19126-1535
(215) 847-2299
Mailing address
7310 N BOUVIER ST, PHILADELPHIA, PA 19126-1535
(215) 847-2299
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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