Individual
LISA OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED, PLCP, NCC
Contact information
Practice address
14137 CLAYTON RD, TOWN AND COUNTRY, MO 63017-8355
(314) 246-9630
Mailing address
1223 SHOREWINDS TRL, SAINT CHARLES, MO 63303-4833
(614) 746-9916
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2022028925
MO
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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