Individual
MIKEL OLSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 620-5015
(253) 620-5831
Mailing address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 620-5015
(253) 620-5831
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP-00000945
WA
101YM0800X
Mental Health Counselor
CL-60152023
WA
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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