Individual provider · Type 1 NPI
Angela Nicole Oliver, LCDC
Addiction (Substance Use Disorder) Counselor · Southlake, TX
NPI number
1861969958
Active
Practice location
325 Miron Dr Ste 110
Southlake, TX 76092-7829
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 11123 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1861969958
Angela Nicole Oliver, LCDC's National Provider Identifier is 1861969958, issued on Oct 27, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Southlake, TX. The record was last updated on Oct 27, 2018.