Individual
ELAINE K OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2303 NAPLES CT, CHAMPAIGN, IL 61822-3510
(217) 722-7295
Mailing address
2303 NAPLES CT, CHAMPAIGN, IL 61822-3510
(217) 722-7295
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1111
WI
101YP2500X
Professional Counselor
Primary
180.009774
IL
1041C0700X
Clinical Social Worker
3329
WI
Other
Enumeration date
09/25/2006
Last updated
07/30/2015
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