Doctor Name: | JENNIFER R OLIVA |
NPI Number: | 1386957538 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 470 |
Business Practice Address: | 307 E Park Ave Ste 415 Anaconda, MT - 597112300 |
Business Phone Number: | 4066910326 |
Business Fax Number: | |
Mailing Address: | Po Box 1133, ANACONDA |
State: | MT |
Postal Code: | 597111133 |
Phone Number: | 4066910326 |
Fax Number: | |
NPI Enumeration Date: | 07/16/2010 |
NPI Last Update Date: | 02/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 470 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |