Individual
MR. JEFFREY OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
5242 PLAINFIELD AVE NE STE C, GRAND RAPIDS, MI 49525-1084
(616) 202-6597
(616) 734-6205
Mailing address
5242 PLAINFIELD AVE NE STE C, GRAND RAPIDS, MI 49525-1084
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401004532
MI
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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