Individual
JOSEPH DAVID OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2521 E MOUNTAIN VILLAGE DR STE F, WASILLA, AK 99654-7373
(907) 290-3760
Mailing address
PO BOX 521244, BIG LAKE, AK 99652-1244
(907) 671-2897
(907) 333-4383
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
07/29/2019
Last updated
09/28/2022
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