Individual
KAILIN LEE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
4432 CHICAGO AVE, MINNEAPOLIS, MN 55407-3519
(612) 870-2453
Mailing address
4432 CHICAGO AVE, MINNEAPOLIS, MN 55407-3519
(612) 870-2453
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303464
MN
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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