Individual
NEIL I OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
151 S 4TH ST, SUITE 401, GRAND FORKS, ND 58201-4715
(701) 795-3000
(701) 795-3050
Mailing address
151 S 4TH ST, SUITE 401, GRAND FORKS, ND 58201-4715
(701) 795-3000
(701) 795-3050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1429
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015447
BCBS ND PROVIDER NUMBER
ND
05
—
054519
—
ND
01
—
48B83OL
BCBS MN PROVIDER NUMBER
MN
Enumeration date
07/07/2006
Last updated
07/09/2007
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