Individual
TRACY OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11875
FL
Other
Enumeration date
10/14/2012
Last updated
11/09/2015
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