Individual
PAOLA VON OELFFEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 OSPREY NEST CT, BLYTHEWOOD, SC 29016-8024
(832) 656-1988
Mailing address
4464 DEVINE ST STE M, COLUMBIA, SC 29205-3605
(832) 656-1988
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO61089985
WA
101YM0800X
Mental Health Counselor
Primary
8166
SC
101YM0800X
Mental Health Counselor
MC61181066
WA
Other
Enumeration date
07/15/2020
Last updated
09/12/2022
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