Individual
BRYAN OLVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1092 NEW YORK DR, ALTADENA, CA 91001-3118
(626) 421-6031
Mailing address
12070 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3771
(562) 777-7500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1587971124
CA
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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