Jerry Olive, LPC

NPI 1437422813 · on the registry since 2012 · sole proprietor

Practice

Address: 301 Sovereign Ct
Suite 105
Ballwin, MO 63011
Phone: (636) 448-5184
Organisation at this address: Hometeam Cds Llc
Embodied Healing Llc
Friedmann Therapy, Llc
Med-Staff Home Health, Llc
Patient Care Professionals Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 25

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-02-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri