Individual
MR. MARK E OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17224 VAN WAGONER RD, SPRING LAKE, MI 49456-9702
(616) 296-2130
Mailing address
17224 VAN WAGONER RD, SPRING LAKE, MI 49456-9702
(616) 296-2130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451023935
MI
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/13/2024
Last updated
02/20/2025
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