Individual
ANGELA NICOLE OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
325 MIRON DR STE 110, SOUTHLAKE, TX 76092-7829
(214) 908-4941
Mailing address
325 MIRON DR STE 110, SOUTHLAKE, TX 76092-7829
(214) 908-4941
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11123
TX
Other
Enumeration date
10/27/2018
Last updated
10/27/2018
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