Individual
DANIELA OLIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
375 NJ-10, 1R, RANDOLPH, NJ 07869
(973) 617-0042
Mailing address
3 TREE TOP RD, 6A, BUDD LAKE, NJ 07828
(973) 294-0006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00611000
NJ
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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