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Individual
NEIL I OLSON
Active
Individual
NEIL I OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1429
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015447
BCBS ND PROVIDER NUMBER
ND
05
—
054519
—
ND
01
—
48B83OL
BCBS MN PROVIDER NUMBER
MN
Enumeration date
07/07/2006
Last updated
07/09/2007
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