Individual
THOMAS J OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1745 S ALMA SCHOOL RD, MESA, AZ 85210-3009
(480) 399-0510
Mailing address
2456 E FAIRVIEW CIR, MESA, AZ 85204-5421
(480) 399-0510
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-18095
AZ
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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