Individual
MS. COURTNEY ELIZABETH OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP LMHC
Contact information
Practice address
31912 LITTLE BOSTON RD NE, PORT GAMBLE SKLALLAM TRIBE, KINGSTON, WA 98346-9700
(360) 297-6329
(360) 297-9678
Mailing address
31912 LITTLE BOSTON RD NE, PORT GAMBLE SKLALLAM TRIBE, KINGSTON, WA 98346-9700
(360) 297-6329
(360) 297-9678
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60131559
WA
101YM0800X
Mental Health Counselor
LH60317284
WA
Other
Enumeration date
02/14/2008
Last updated
08/19/2014
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