person
Jerry Wayne Olive, LPC
Mental Health Counselor in Ballwin, Missouri
NPI 1437422813

Jerry Wayne Olive is a Mental Health Counselor based in Ballwin, MO and is specialized in Mental Health. Jerry Wayne Olive practices in Ballwin, MO and has the professional credentials of LPC. The NPI Number for Jerry Wayne Olive is 1437422813 and holds a License No. 2009012865 (Missouri).

The current practice location address for Jerry Wayne Olive is 301 Sovereign Ct, Ballwin, MO and can be reached out via phone at 636-448-5184. You can also correspond with Jerry Wayne Olive through the mailing address at 301 SOVEREIGN CT, BALLWIN, MO - 63011-4441 (mailing address contact number: 636-448-5184).

Location: 301 Sovereign Ct, Ballwin, MO, 63011-4441
person
Provider Profile Details
NPI Number
1437422813
Provider Name
Jerry Wayne Olive
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
301 Sovereign Ct, Ballwin, MO, 63011-4441
Phone Number
636-448-5184
Fax Number
Provider Enumeration Date
02/16/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
301 Sovereign Ct
City
State
Zip
63011-4441
Phone Number
636-448-5184
Fax Number
person
Provider Business Mailing Address Details
Address
301 Sovereign Ct
City
State
Zip
63011-4441
Phone Number
636-448-5184
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2009012865 (Missouri)
Definition
Definition to come...
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