Individual provider · Type 1 NPI
Oliver Jolly Jr., LPCLSW
Counselor · Choctaw, MS
NPI number
1205233582
Active
Practice location
210 Hospital Cir
Choctaw, MS 39350-6781
Fax (601) 663-7935
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 0950 (MS) |
| Social Worker | 104100000X | W3000 (MS) |
Counselor: 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's degree and clinical experience and supervision for licensure or certification.
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About NPI 1205233582
Oliver Jolly Jr., LPCLSW's National Provider Identifier is 1205233582, issued on Dec 2, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Choctaw, MS. The record was last updated on Dec 2, 2014.