Tyler Olivier
Counselor, Professional in New Iberia, LA. Individual provider (NPI-1).
NPI number1982195467
StatusActive
Last updated in NPPESMay 21, 2018
Details
- NPI
- 1982195467
- Entity type
- Individual (NPI-1)
- Name
- Tyler Olivier
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 21, 2018
- Last updated
- May 21, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
1519 Anderson StNew Iberia, LA 70560-5105
Phone 337-359-7316
Mailing address
1519 Anderson StNew Iberia, LA 70560-5105
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