Individual
AMEE OLLIVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1319 S MANHATTAN PL, LOS ANGELES, CA 90019-4702
(323) 734-1143
Mailing address
17701 AVALON BLVD SPC 291, CARSON, CA 90746-7076
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
169589
CA
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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