Doctor Name: | MR. JOSEPH PATRICK OLVERA |
NPI Number: | 1831351162 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BA |
License Number: | |
Business Practice Address: | 31681 Riverside Dr Suite L Lake Elsinore, CA - 925307815 |
Business Phone Number: | 9516749243 |
Business Fax Number: | 9516749635 |
Mailing Address: | 31681 Riverside Dr, Suite L LAKE ELSINORE |
State: | CA |
Postal Code: | 925307815 |
Phone Number: | 9516749243 |
Fax Number: | 9516749635 |
NPI Enumeration Date: | 06/27/2008 |
NPI Last Update Date: | 12/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |