Individual
LILA OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11428 ROYAL AMBER WAY, RALEIGH, NC 27614-9896
(919) 618-1353
(919) 741-4741
Mailing address
1705 FAIRVIEW RD, RALEIGH, NC 27608-2413
(919) 618-1353
(919) 741-4741
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A17722
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A17722
LISCENSED CLINICAL MENTAL HEALTH COUNSELOR
NC
Enumeration date
08/23/2022
Last updated
09/21/2022
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