MEDICARE: JUANITA OILER L.S.W,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	S,0600651	OH

General Provider Information

NPI Number	:	1124553706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUANITA OILER L.S.W,

Provider Business Mailing Address
First Line	:	250 KENSINGTON PL
Second Line	:
City	:	MARION
State	:	OH
Zip	:	43302-4429
Country	:	US
Telephone Number	:	740-802-4313
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 PUBLIC SQ
Second Line	:
City	:	GALION
State	:	OH
Zip	:	44833-1926
Country	:	US
Telephone Number	:	567-560-3583
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2017
Last Update Date	:	04/20/2017

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Directions to “ JUANITA OILER L.S.W,” Practice Location

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