# DEBORAH L OLSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1477621100
- **Gender:** F
- **Credential:** MS LPC-MH QMHP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | LPC-MH2092 | SD | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 03/04/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4994579 | BCBS PROVIDER ID | SD |
| 05 | — | 6575810 | — | SD |
