Individual
MR. ROBERT E OLIVER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
2620 CENTENARY BLVD, SHREVEPORT, LA 71104
(318) 681-9935
Mailing address
2620 CENTENARY BLVD, SHREVEPORT, LA 71104-3356
(318) 681-9935
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLC9714
LA
171M00000X
Case Manager/Care Coordinator
007016682
LA
Other
Enumeration date
11/05/2015
Last updated
11/21/2023
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