Individual
HERMAN D OLIVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COUNSELOR
Contact information
Practice address
8 KILBURN ST, NEW BEDFORD, MA 02740-7321
(508) 979-1122
Mailing address
28 PLEASANT ST APT 2, REVERE, MA 02151-5019
(339) 545-6826
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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