Individual
MRS. KIYA OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA & M.S.
Contact information
Practice address
800 W 5TH AVE, NAPERVILLE, IL 60563
(630) 548-0749
Mailing address
800 W 5TH AVE, NAPERVILLE, IL 60563
(630) 548-0749
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180.012570
IL
103K00000X
Behavior Analyst
Primary
1-12-10213
—
222Q00000X
Developmental Therapist
KW48321203P
IL
Other
Enumeration date
02/23/2007
Last updated
11/25/2019
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