| Doctor Name: | ALICIA CARMEN OLIVARES |
| NPI Number: | 1417293556 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS |
| License Number: | MH11233 |
| Business Practice Address: | 280 Patterson Rd Ste 6 Haines City, FL - 338446261 |
| Business Phone Number: | 3214426665 |
| Business Fax Number: | 8008837015 |
| Mailing Address: | 4436 Old Tampa Hwy, KISSIMMEE |
| State: | FL |
| Postal Code: | 347464254 |
| Phone Number: | 3214426665 |
| Fax Number: | |
| NPI Enumeration Date: | 12/18/2012 |
| NPI Last Update Date: | 03/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH11233 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |