Healthcare Provider Details

I. General information

NPI: 1700392784
Provider Name (Legal Business Name): OLIVIA MICHELE CLEAR LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/28/2017
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 FRANKLIN ST STE 300
OAKLAND CA
94607-3734
US

IV. Provider business mailing address

66 FRANKLIN ST STE 300
OAKLAND CA
94607-3734
US

V. Phone/Fax

Practice location:
  • Phone: 510-948-7858
  • Fax:
Mailing address:
  • Phone: 615-477-3132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC13057
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPCC13057
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: