| Doctor Name: | MS. TRACI A. OLIVIER |
| NPI Number: | 1013166867 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CSC-AD |
| License Number: | SC0284 |
| Business Practice Address: | 122 Langley Road North Suite B Glen Burnie, MD - 21060 |
| Business Phone Number: | 4102220100 |
| Business Fax Number: | 4102220116 |
| Mailing Address: | 122 Langley Road North, Suite B GLEN BURNIE |
| State: | MD |
| Postal Code: | 21060 |
| Phone Number: | 4102220100 |
| Fax Number: | 4102220116 |
| NPI Enumeration Date: | 09/17/2008 |
| NPI Last Update Date: | 09/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | SC0284 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |