JERRY OLIVE, LPC

Counselor - Mental Health

Active Individual
NPI: 1437422813

Practice Address

301 SOVEREIGN CT
SUITE 105
Ballwin, MO 63011

Phone: (636) 448-5184

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes 2009012865 (MO)

Frequently Asked Questions

NPI 1437422813 is the National Provider Identifier for JERRY OLIVE, LPC, a Counselor - Mental Health provider located in Ballwin, MO. This NPI was enumerated on February 16, 2012.
JERRY OLIVE, LPC practices at 301 SOVEREIGN CT, SUITE 105, Ballwin, MO 63011.

Quick Facts

NPI
1437422813
Type
Individual
Enumerated
Feb 16, 2012
Last Updated
Feb 16, 2012

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