Individual
HEIDI OLIVIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 CORINTH AVE, BROUSSARD, LA 70518-7417
(337) 849-0955
Mailing address
109 CORINTH AVE, BROUSSARD, LA 70518-7417
(337) 849-0955
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
16079
LA
101YP2500X
Professional Counselor
16079
LA
104100000X
Social Worker
Primary
16079
LA
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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