| Doctor Name: | KATRINA MARIE OLIVER |
| NPI Number: | 1326482373 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CSAC |
| License Number: | |
| Business Practice Address: | 1251 Pinnacle Church Road Nebo, NC - 287615753 |
| Business Phone Number: | 8286593418 |
| Business Fax Number: | 8286593291 |
| Mailing Address: | Po Box 1149, NEBO |
| State: | NC |
| Postal Code: | 287610964 |
| Phone Number: | 8286593418 |
| Fax Number: | 8286593291 |
| NPI Enumeration Date: | 04/22/2013 |
| NPI Last Update Date: | 04/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |