Individual
NATHANIEL PHILLIP OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
5099 E BLUE LUPINE DR, SUITE 212, WASILLA, AK 99654-8426
(907) 201-0177
Mailing address
5099 E BLUE LUPINE DR, SUITE 212, WASILLA, AK 99654-8426
(907) 201-0177
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
649
AK
101YP2500X
Professional Counselor
C0501343
OH
Other
Enumeration date
08/13/2009
Last updated
04/18/2017
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