Individual
MELODY OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1245 GUN CLUB RD, WHITE BEAR LAKE, MN 55110-3379
(612) 440-7993
Mailing address
565 MARSHALL AVE APT 2, SAINT PAUL, MN 55102-4559
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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