Lisa Dianne Olive

NPI #1265902308 in Mountain Brk, Alabama

Provider Information

NPI Number: 1265902308
Entity Type: Individual
Name: Lisa Dianne Olive
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Dec 2, 2018
Last Updated: Dec 2, 2018

Practice Location

Address: 13 OFFICE PARK CIR STE 19
City: Mountain Brk
State: Alabama
ZIP Code: 35223-2921
Phone: (205) 601-9165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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