National Provider Identifier
Chance Olivas
Chance Olivas is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Williamsville, NY and a listed phone number of (631) 316-9122.
Profile Overview
- NPI
- 1770314924
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- August 09, 2024
- Last Updated
- August 09, 2024
Practice Location
- 5574 Main St
- Williamsville, NY 14221-5452
Phone: (631) 316-9122
Mailing Address
- 312 S 4Th St Uppr
- Olean, NY 14760-3517
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1770314924
- Entity Type
- Individual
- Last Name
- Olivas
- First Name
- Chance
- Mailing Street Address
- 312 S 4Th St Uppr
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760-3517
- Mailing Country
- US
- Mailing Phone
- (631) 316-9122
- Practice Street Address
- 5574 Main St
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5452
- Practice Country
- US
- Practice Phone
- (631) 316-9122
- Enumeration Date
- August 09, 2024
- Last Updated
- August 09, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- August 09, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)