Most Relevant Information
Provider Data
| NPI Number: | 1003008202 |
| Provider Name: | ANGELA D. OLIVER LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | I-06235 |
Most Important Dates
| Enumeration Date: | 08/13/2007 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
244 TUNE DRIVE
EL PRADO
NM
87529
Practice Location Phone/Fax
| Phone: | 5757519858 |
| Fax: | 5757519858 |
Provider Mailing Location
PO BOX 278
EL PRADO
NM
875290278
Provider Mailing Phone/Fax
| Phone: | 5757519858 |
| Fax: | 5756131506 |