Individual
JESSICA OLIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
801 BARROW ST STE 313, HOUMA, LA 70360-4764
(985) 293-7401
(985) 293-7840
Mailing address
801 BARROW ST STE 313, HOUMA, LA 70360-4764
(985) 293-7401
(985) 293-7840
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4731
LA
Other
Enumeration date
03/07/2015
Last updated
03/07/2015
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