Individual
CHARLES LEE OLLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.,LPC
Contact information
Practice address
415 S 11TH ST, BEAUMONT, TX 77701-3834
(409) 813-1116
(409) 813-1116
Mailing address
415 S 11TH ST, BEAUMONT, TX 77701-3834
(409) 813-1116
(409) 813-1116
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
15662
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096045204
—
TX
Enumeration date
08/05/2006
Last updated
01/06/2012
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