Provider Demographics
NPI:1316311970
Name:OLIVER, AARON (LPCA)
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:
Last Name:OLIVER
Suffix:
Gender:M
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:592 KY 15 SOUTH
Mailing Address - Street 2:SUITE 5
Mailing Address - City:CAMPTON
Mailing Address - State:KY
Mailing Address - Zip Code:41301
Mailing Address - Country:US
Mailing Address - Phone:606-668-7393
Mailing Address - Fax:606-668-9701
Practice Address - Street 1:592 KY 15 SOUTH
Practice Address - Street 2:SUITE 5
Practice Address - City:CAMPTON
Practice Address - State:KY
Practice Address - Zip Code:41301
Practice Address - Country:US
Practice Address - Phone:606-668-7393
Practice Address - Fax:606-668-9701
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-19
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY171127101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health