Individual provider · Type 1 NPI

Jerry Wayne Olive, LPC

Mental Health Counselor · Ballwin, MO

NPI number 1437422813 Active

Practice location

301 Sovereign Ct, Suite 105
Ballwin, MO 63011-4441

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2009012865 (MO)

Mental Health Counselor: Definition to come...

9 other providers at this address

Other mental health counselor providers in Ballwin

See all in Ballwin →

About NPI 1437422813

Jerry Wayne Olive, LPC's National Provider Identifier is 1437422813, issued on Feb 16, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ballwin, MO. The record was last updated on Feb 16, 2012.