Individual
WILHELMINA CHRISTINA OLIVIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
924 BRIDGE AVE, ALBERT LEA, MN 56007-2351
(507) 450-4310
Mailing address
122 RIDGE RD, ALBERT LEA, MN 56007-1439
(507) 450-4310
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303481
MN
101YP2500X
Professional Counselor
Primary
02001
MN
104100000X
Social Worker
18091
MN
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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