Individual
MS. CARRIE OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSWAIC, SUDP
Contact information
Practice address
11818 SE MILL PLAIN BLVD, SUITE #307, VANCOUVER, WA 98684-5089
(360) 750-9635
(360) 334-9541
Mailing address
11818 SE MILLPLAIN BLVD, SUITE #307, VANCOUVER, WA 98684
(360) 750-9635
(360) 334-9541
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60580844
WA
101YM0800X
Mental Health Counselor
Primary
SC61083956
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC61083956
LSWAIC
WA
Enumeration date
10/20/2016
Last updated
07/08/2022
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