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Charles Lee Olliff, MED,LPC
Professional Counselor in Beaumont, Texas
NPI 1477562056

Charles Lee Olliff is a Professional Counselor based in Beaumont, TX and is specialized in Professional. Charles Lee Olliff practices in Beaumont, TX and has the professional credentials of MED,LPC. The NPI Number for Charles Lee Olliff is 1477562056 and holds a License No. 15662 (Texas).

The current practice location address for Charles Lee Olliff is 415 S 11Th St, Beaumont, TX and can be reached out via phone at 409-813-1116 and via fax at 409-813-1116. You can also correspond with Charles Lee Olliff through the mailing address at 415 S 11TH ST, BEAUMONT, TX - 77701-3834 (mailing address contact number: 409-813-1116).

Location: 415 S 11Th St, Beaumont, TX, 77701-3834
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Provider Profile Details
NPI Number
1477562056
Provider Name
Charles Lee Olliff
Credential
MED,LPC
Provider Entity Type
Individual
Gender
Male
Address
415 S 11Th St, Beaumont, TX, 77701-3834
Phone Number
409-813-1116
Fax Number
409-813-1116
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
096045204 05 TX
institution
Provider Business Practice Location Address Details
Address
415 S 11Th St
City
State
Zip
77701-3834
Phone Number
409-813-1116
Fax Number
409-813-1116
person
Provider Business Mailing Address Details
Address
415 S 11Th St
City
State
Zip
77701-3834
Phone Number
409-813-1116
Fax Number
409-813-1116
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
15662 (Texas)
Definition
Definition to come...
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