Individual
OLIVER JOLLY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCLSW
Contact information
Practice address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(601) 389-6291
(601) 663-7935
Mailing address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(601) 389-6291
(601) 663-7935
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0950
MS
104100000X
Social Worker
W3000
MS
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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