Individual
SUSAN M OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1121 E MAIN ST, SUITE 130, ST CHARLES, IL 60174-2205
(630) 513-5576
(630) 513-5657
Mailing address
PO BOX 1509, ELGIN, IL 60121-1509
(224) 238-4160
(847) 783-0599
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180001663
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04532734
BCBS
IL
Enumeration date
08/07/2006
Last updated
06/13/2011
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