Individual
JESSICA OLIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
261 N SOLAR DR, VAIL, AZ 85641-9602
(602) 638-3702
Mailing address
PO BOX 13, VAIL, AZ 85641-0013
(602) 638-3702
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-22740
AZ
Other
Enumeration date
12/31/2025
Last updated
12/31/2025
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