Individual
TIFFANY KAY OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC
Contact information
Practice address
30955 COUNTY HWY TB, LONE ROCK, WI 53556-9021
(608) 604-9199
Mailing address
30926 OLSON LN, LONE ROCK, WI 53556-9009
(608) 604-9199
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16571-132
WI
101YM0800X
Mental Health Counselor
Primary
11345-123
WI
Other
Enumeration date
01/03/2020
Last updated
09/02/2024
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