Individual
JENNIFER ANNE OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 COMMON ST, LAKE CHARLES, LA 70601-5255
(337) 437-4014
Mailing address
1333 COMMON ST, LAKE CHARLES, LA 70601-5255
(337) 437-4014
(855) 239-9737
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
100138
TX
101YP2500X
Professional Counselor
Primary
8561
LA
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/03/2014
Last updated
11/05/2025
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