Individual provider · Type 1 NPI

Gina Lisa Olivares

Mental Health Counselor · San Pablo, CA

NPI number 1386802247 Active

Practice location

2523 El Portal Dr
San Pablo, CA 94806-3305

Fax (510) 439-3129

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1386802247

Gina Lisa Olivares's National Provider Identifier is 1386802247, issued on May 28, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Pablo, CA. The record was last updated on Aug 12, 2011.