Individual
DR. BRADLEY ALLEN OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
222 N VERDE ST, FLAGSTAFF, AZ 86001-4636
(928) 779-5118
Mailing address
222 N VERDE ST, FLAGSTAFF, AZ 86001-4636
(928) 779-5118
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-1388
AZ
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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