Individual
MS. MARINA V OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSC, CDP, NCAC
Contact information
Practice address
136 RICE LN, ONALASKA, WA 98570-9704
(360) 269-1266
Mailing address
136 RICE LN, ONALASKA, WA 98570-9704
(360) 978-6989
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00000167
WA
101YP2500X
Professional Counselor
Primary
CG 60288871
WA
Other
Enumeration date
08/09/2007
Last updated
12/07/2012
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