Individual
NICOLE SHADDIX-OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
806 W 15TH ST, PLEASANTON, KS 66075-4089
(913) 352-8214
Mailing address
11002 W 57TH TER, SHAWNEE, KS 66203-2812
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2706
KS
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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