Individual
ANGELA M OLVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.M.H.C.
Contact information
Practice address
1910 SAINT JOE CENTER RD STE 23, FORT WAYNE, IN 46825
(260) 484-5599
(260) 484-5664
Mailing address
1910 SAINT JOE CENTER RD STE 23, FORT WAYNE, IN 46825-5000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002672A
IN
Other
Enumeration date
05/12/2011
Last updated
11/30/2021
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