Individual
MR. JAVON CORY OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
418 SHEPHERD ST NW, WASHINGTON, DC 20011-5944
(202) 340-1953
Mailing address
8418 THORNBERRY DR E, UPPER MARLBORO, MD 20772-5061
(202) 340-1953
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PRC14310
DC
101YP2500X
Professional Counselor
LC2445
MD
101YP2500X
Professional Counselor
PRC14310
DC
Other
Enumeration date
09/18/2007
Last updated
11/19/2024
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