Individual
MR. CARL JOHN OLIVERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
106 VINEYARD AVE, HIGHLAND, NY 12528-1422
(845) 691-9191
(845) 691-9339
Mailing address
106 VINEYARD AVE, HIGHLAND, NY 12528-1422
(845) 691-9191
(845) 691-9339
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11539
NY
Other
Enumeration date
03/20/2007
Last updated
02/27/2008
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