Individual
PHILLIP CHARLES OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
300 3RD STREET, BURLINGTON, WY 82411-0277
(801) 673-2101
Mailing address
300 3RD STREET, BURLINGTON, WY 82411-0277
(801) 673-2101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-1553
WY
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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