Provider Demographics
NPI:1326162751
Name:ADAMSON, OLIVIA J (LBP, LPC, LMFT)
Entity Type:Individual
Prefix:MS
First Name:OLIVIA
Middle Name:J
Last Name:ADAMSON
Suffix:
Gender:F
Credentials:LBP, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6107 SW OAK CLIFF AVE
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-7712
Mailing Address - Country:US
Mailing Address - Phone:580-536-9129
Mailing Address - Fax:580-536-9132
Practice Address - Street 1:6217 W GORE BLVD
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-5836
Practice Address - Country:US
Practice Address - Phone:580-536-9129
Practice Address - Fax:580-536-9132
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3502101Y00000X
LA847106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist