Individual provider · Type 1 NPI

Jaime Tavonia Olidge, LPC-A

Professional Counselor · Pflugerville, TX

NPI number 1699098723 Active

Practice location

2911 A W Grimes Blvd Ste 330
Pflugerville, TX 78660-1979

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Professional Counselor Primary 101YP2500X88323 (TX)

Professional Counselor: Definition to come...

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About NPI 1699098723

Jaime Tavonia Olidge, LPC-A's National Provider Identifier is 1699098723, issued on Mar 3, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pflugerville, TX. The record was last updated on Feb 11, 2023.