Individual
PHILYCIA S OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-I
Contact information
Practice address
6048 S DURANGO DR STE 115, LAS VEGAS, NV 89113-1781
(702) 815-1554
Mailing address
810 KANSAS ST, PAHRUMP, NV 89048-8293
(775) 513-2779
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07913-I
NV
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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