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Individual

PROF. OLLIS CARVER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
1100 ROSE DR STE 224, BENICIA, CA 94510-3618
(707) 642-5139
(707) 641-1104
Mailing address
PO BOX 6691, VALLEJO, CA 94591-1691
(707) 642-5139
(707) 641-1104

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC-7370
CA

Other

Enumeration date
05/23/2022
Last updated
11/17/2023
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