Individual
PETER VANNAH OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LPC, M.A, NCC
Contact information
Practice address
200 WICKHAM RD, GLASTONBURY, CT 06033-2552
(860) 778-1551
Mailing address
200 WICKHAM RD, GLASTONBURY, CT 06033-2552
(860) 778-1551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001269
CT
101YP2500X
Professional Counselor
Primary
001269
CT
Other
Enumeration date
12/13/2022
Last updated
01/27/2025
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