Individual
IVY OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1524 S IH 35 STE 210, AUSTIN, TX 78704-2603
(512) 343-8606
Mailing address
1524 S IH 35 STE 210, AUSTIN, TX 78704-2603
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
62818
TX
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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