# OLSON INDIVIDUAL AND FAMILY COUNSELING SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124607015
- **Authorized official:** KIRA OLSON LMFT (PRESIDENT)
- **Authorized official phone:** (408) 610-8922

## Contact information

- **Practice address:** 3880 S BASCOM AVE STE 216, SAN JOSE, CA 95124-2675
- **Practice address phone:** (408) 610-8922
- **Mailing address:** 2010 EL CAMINO REAL \# 1320, SANTA CLARA, CA 95050-4051
- **Mailing address phone:** (408) 617-5747
- **Mailing address fax:** (408) 413-0497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 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