Olivares Rodriguez, Nicholl

Olivares Rodriguez, Nicholl is an individual health care provider with primary practice located at 140 E Broadway Ave # B-13 , Jackson WY 83001-8632. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Olivares Rodriguez, Nicholl can be contacted via phone (307) 413-6528.

Contact Information

Primary practice address
140 E Broadway Ave # B-13 Jackson WY 83001-8632
Phone: (307) 413-6528
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X PPC-1196 Wyoming

Profile Details

NPI number 1740898303
LBN Legal business name Olivares Rodriguez, Nicholl
Credentials PPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2020
Last updated Jul 20th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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