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Crystal Shannon Oliva

Counselor, Addiction (Substance Use Disorder) in Bakersfield, CA. Individual provider (NPI-1).

NPI number1245643261
StatusActive
Last updated in NPPESJun 27, 2014

Details

NPI
1245643261
Entity type
Individual (NPI-1)
Name
Crystal Shannon Oliva
Sex
Female
Sole proprietor
No
Enumeration date
Jun 6, 2014
Last updated
Jun 27, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)–CAYes

Practice location

1124 Baker St
Bakersfield, CA 93305-4322

Phone 661-327-9376 · Fax 661-327-7649

Mailing address

Po Box 3067
Bakersfield, CA 93385-3067

Phone 661-327-9376 · Fax 661-327-7649

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