| NPI | 1770709396 |
|---|---|
| Other Name | MATTHEW ABEL OLIVARES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A012150315) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2025-08-22 |