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Individual

KRISTOPHER OLIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
24387 RIDGECREST RD, LOCUST, NC 28097-8362
(216) 990-1170
Mailing address
24387 RIDGECREST RD, LOCUST, NC 28097-8362
(216) 990-1170

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA0400X
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101YA0400X
ADDICTION (SUBSTANCE USE DISORDER)
NC
Enumeration date
08/08/2025
Last updated
08/08/2025
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