Individual
SUMMER D OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP, LCAC
Contact information
Practice address
730 HOLLY LN, SALINA, KS 67401
(785) 452-4930
(785) 452-4932
Mailing address
400 S SANTA FE AVE, SALINA, KS 67401-4144
(785) 452-7706
(785) 452-7279
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200550710A
—
KS
Enumeration date
12/31/2007
Last updated
05/30/2018
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