Individual
MS. JENNIFER L OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
2063 STATE ROUTE 129, SOUTH BRISTOL, ME 04568-4318
(207) 644-8269
Mailing address
2063 STATE ROUTE 129, SOUTH BRISTOL, ME 04568-4318
(207) 644-8269
(207) 563-3561
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
XL4236
ME
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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