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Individual
MR. JERRY LYNN OLSON
Active
Individual
MR. JERRY LYNN OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC CADC III
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
1802-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063
CADC III
WI
01
—
1802-125
LPC
WI
Enumeration date
11/20/2006
Last updated
09/11/2025
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