Individual provider · Type 1 NPI
Shantyl Oliver
Professional Counselor · Fort Worth, TX
NPI number
1346980174
Active
Practice location
1751 River Run Ste 200
Fort Worth, TX 76107-6670
Fax (682) 312-3619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1346980174
Shantyl Oliver's National Provider Identifier is 1346980174, issued on Mar 30, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Mar 30, 2022.