Individual
OLGA JEANNETTE PALACIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LCADC, ACS
Contact information
Practice address
567 MORRIS AVE, ELIZABETH, NJ 07208-1985
(908) 355-7200
Mailing address
232 PERSHING AVE, ROSELLE PARK, NJ 07204-2312
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00282800
NJ
101YP2500X
Professional Counselor
Primary
37PC00626900
NJ
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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