Individual
TAMARA OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
101YA0400X
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
(801) 373-0639
Mailing address
3281 N MAIN ST, SPANISH FORK, UT 84660-8501
(801) 851-7652
(801) 851-7649
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16950
101YA0400X
UT
Enumeration date
03/13/2012
Last updated
05/08/2020
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