Individual
DEANDRA MICHELLE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 S MAIN ST, BLACKSTONE, VA 23824-2648
(434) 264-3209
(434) 264-3224
Mailing address
920 S MAIN ST, BLACKSTONE, VA 23824-2648
(434) 264-3209
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
070414491
VA
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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