Individual
LAUREN K OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
151 MAIN ST, STATEN ISLAND, NY 10307-1226
(609) 819-5360
Mailing address
1603 CAMMAR DR, WALL TOWNSHIP, NJ 07719-4703
(609) 819-5360
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00251400
NJ
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
37LC00251400
NJ
Other
Enumeration date
07/26/2008
Last updated
07/26/2024
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