Individual
ALICIA CARMEN OLIVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PHD
Contact information
Practice address
21 B ST, HAINES CITY, FL 33844-5025
(321) 442-6665
(800) 883-7015
Mailing address
21 B ST, HAINES CITY, FL 33844-5025
(321) 442-6665
(800) 883-7015
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
MH11233
FL
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/18/2012
Last updated
08/09/2022
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