Individual
CONNIE OLLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT
Contact information
Practice address
182 SW ACADEMY ST, STE 220, DALLAS, OR 97338-1922
(503) 623-9664
Mailing address
182 SW ACADEMY ST, STE 220, DALLAS, OR 97338-1922
(503) 623-9664
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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