Individual
GEOFFREY OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1425 S 700 E STE 102, SALT LAKE CITY, UT 84105-2125
(385) 313-0055
Mailing address
1507 S 700 E APT 2, SALT LAKE CITY, UT 84105-2147
(801) 301-3541
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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