| Doctor Name: | MR. JAVON CORY OLIVER |
| NPI Number: | 1932395522 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS, LCPC, LPC |
| License Number: | PRC14310 |
| Business Practice Address: | 803 Shipfriend Rd Middle River, MD - 212201730 |
| Business Phone Number: | 3015008805 |
| Business Fax Number: | |
| Mailing Address: | 418 Shepherd St Nw, WASHINGTON |
| State: | DC |
| Postal Code: | 200115944 |
| Phone Number: | 2027068070 |
| Fax Number: | |
| NPI Enumeration Date: | 09/18/2007 |
| NPI Last Update Date: | 08/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PRC14310 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |