Individual
ERIC WILLIAM OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
607 N BROADWAY ST, HASTINGS, MI 49058-1471
(269) 838-9927
Mailing address
607 N BROADWAY ST, HASTINGS, MI 49058-1471
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401006942
MI
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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