Individual
JULIA OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.M.H.C.
Contact information
Practice address
43825 MICHIGAN AVE, CANTON, MI 48188-2551
(734) 397-3088
(734) 397-2892
Mailing address
43825 MICHIGAN AVE, CANTON, MI 48188-2551
(734) 397-3088
(734) 397-2892
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401008736
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00018781
BLUE CROSS BLUE SHIELD
VT
05
—
1007118
—
VT
01
—
2033039
CIGNA
VT
01
—
61416
MVP
VT
Enumeration date
05/05/2006
Last updated
07/09/2007
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