Individual
JOSE ANDRES OLIVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1920 NW OAK AVE, LAWTON, OK 73507-4526
(580) 647-6981
Mailing address
1920 NW OAK AVE, LAWTON, OK 73507-4526
(580) 647-6981
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12244
OK
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
02/21/2026
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