Provider Demographics
NPI:1386714780
Name:MORROW, OLIVE DOROTHY
Entity type:Individual
Prefix:
First Name:OLIVE
Middle Name:DOROTHY
Last Name:MORROW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3205 W CAPITOL AVE
Mailing Address - Street 2:APT C
Mailing Address - City:WEST SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95691-2130
Mailing Address - Country:US
Mailing Address - Phone:916-371-3253
Mailing Address - Fax:
Practice Address - Street 1:3205 W CAPITOL AVE
Practice Address - Street 2:APT C
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95691-2130
Practice Address - Country:US
Practice Address - Phone:916-371-3253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)