| Doctor Name: | MS. OLIVIA E LOVELY |
| NPI Number: | 1679874770 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | AF10000178 |
| Business Practice Address: | 105 Allen St Kelso, WA - 986263401 |
| Business Phone Number: | 3606364984 |
| Business Fax Number: | |
| Mailing Address: | Po Box 734, KELSO |
| State: | WA |
| Postal Code: | 986260063 |
| Phone Number: | 3606364984 |
| Fax Number: | |
| NPI Enumeration Date: | 11/06/2010 |
| NPI Last Update Date: | 11/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | AF10000178 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |