Individual provider · Type 1 NPI
Victor Olivencia, CBHCM-DC
Counselor · Lawton, OK
NPI number
1598960346
Active
Practice location
5 SW D Ave, Suite A
Lawton, OK 73501-4619
Fax (580) 250-1795
Mailing address
4436 NW 50th St
Oklahoma City, OK 73112-2212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
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.
5 other providers at this address
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About NPI 1598960346
Victor Olivencia, CBHCM-DC's National Provider Identifier is 1598960346, issued on Jun 20, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lawton, OK. The record was last updated on Jul 8, 2007.