Oliver Jolly JR., LPCLSW
NPI #1205233582 in Choctaw, Mississippi
Provider Information
- NPI Number
- 1205233582
- Entity Type
- Individual
- Name
- Oliver Jolly JR., LPCLSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- LPCLSW
- Enumeration Date
- Dec 2, 2014
- Last Updated
- Dec 2, 2014
Practice Location
- Address
- 210 HOSPITAL CIR
- City
- Choctaw
- State
- Mississippi
- ZIP Code
- 39350-6781
- Phone
- (601) 389-6291
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Social Worker |
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