Individual
KAYLIE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7601 WAYZATA BLVD, ST LOUIS PARK, MN 55426-1623
(612) 315-7702
Mailing address
7601 WAYZATA BLVD, ST LOUIS PARK, MN 55426-1623
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306583
MN
Other
Enumeration date
05/19/2023
Last updated
06/25/2024
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