Provider Demographics
NPI:1790901882
Name:OLIVER, BARBARA E (LMHC, CASAC, SAP)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:E
Last Name:OLIVER
Suffix:
Gender:F
Credentials:LMHC, CASAC, SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 ISLAND LN
Mailing Address - Street 2:
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-2479
Mailing Address - Country:US
Mailing Address - Phone:585-393-9504
Mailing Address - Fax:585-393-9504
Practice Address - Street 1:24 ISLAND LN
Practice Address - Street 2:
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-2479
Practice Address - Country:US
Practice Address - Phone:585-393-9504
Practice Address - Fax:585-393-9504
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003643-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health