Individual
CONSTANCE L OLIPHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3620 STUTZ DR, CANFIELD, OH 44406-9176
(330) 286-3173
Mailing address
85 GRIMM HEIGHTS AVE, STRUTHERS, OH 44471-2134
(719) 510-9595
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2002540
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/10/2019
Last updated
02/17/2020
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