Individual provider · Type 1 NPI

Connie Olliff, MAT

Mental Health Counselor · Dallas, OR

NPI number 1285033092 Active

Practice location

182 SW Academy St, Ste 220
Dallas, OR 97338-1922

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1285033092

Connie Olliff, MAT's National Provider Identifier is 1285033092, issued on Aug 18, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, OR. The record was last updated on Aug 18, 2014.