JASON JOHN OLVERA NPI 1710472170

NPI Information

NPI: 1710472170
Provider Name: JASON JOHN OLVERA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3300 36TH ST SE
GRAND RAPIDS, MI
ZIP 49512
Phone: (616) 942-2110
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Jason John Olvera is an addiction (substance use disorder) counselor in Grand Rapids, MI. Jason John Olvera NPI is 1710472170. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3300 36TH ST SE
GRAND RAPIDS, MI
ZIP 49512-810
Phone: (616) 942-2110

The enumeration date for this NPI number is 6/28/2018 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator				No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	2-01811	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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