Individual
CHRISTINE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC, LLPC
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
Mailing address
1835 AMHURST ST NE, GRAND RAPIDS, MI 49503-3870
(510) 520-0472
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401015481
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174567023
—
MI
Enumeration date
06/30/2016
Last updated
06/30/2016
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