Individual
MRS. TARA RENAE OLSON-LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC MH
Contact information
Practice address
4105 S CARNEGIE PL, SIOUX FALLS, SD 57106-2360
(605) 323-2345
(605) 323-2822
Mailing address
4105 S CARNEGIE PL, SIOUX FALLS, SD 57106-2360
(605) 323-2345
(605) 323-2822
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC1084
SD
101YM0800X
Mental Health Counselor
LPCMH2120
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6575440
—
SD
Enumeration date
09/26/2005
Last updated
11/16/2007
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