Provider Demographics
NPI:1437402815
Name:ACEVEDO, OLGA (CADC-CAS)
Entity type:Individual
Prefix:
First Name:OLGA
Middle Name:
Last Name:ACEVEDO
Suffix:
Gender:F
Credentials:CADC-CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 TOWER WAY STE 150A
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-1597
Mailing Address - Country:US
Mailing Address - Phone:661-634-9877
Mailing Address - Fax:661-864-0198
Practice Address - Street 1:1001 TOWER WAY STE 150A
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-1597
Practice Address - Country:US
Practice Address - Phone:661-634-9877
Practice Address - Fax:661-864-0198
Is Sole Proprietor?:No
Enumeration Date:2012-10-22
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
CAS0412311706101YA0400X
CAC050090118101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)