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Organization
OLSON INDIVIDUAL AND FAMILY COUNSELING SERVICES INC
Active
Organization
OLSON INDIVIDUAL AND FAMILY COUNSELING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRA OLSON LMFT (PRESIDENT)
(408) 610-8922
Entity
Organization
Contact information
Practice address
3880 S BASCOM AVE STE 216, SAN JOSE, CA 95124-2675
(408) 610-8922
Mailing address
2010 EL CAMINO REAL # 1320, SANTA CLARA, CA 95050-4051
(408) 617-5747
(408) 413-0497
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
—
NULL
174400000X
Specialist
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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