Individual
DR. LOTTIE GRACE OLSON-DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LPC, LCMHC
Contact information
Practice address
4222 FORTUNA CENTER PLZ STE 192, DUMFRIES, VA 22025-1515
(703) 910-7529
(703) 910-7555
Mailing address
4222 FORTUNA CENTER PLZ STE 192, DUMFRIES, VA 22025-1515
(703) 910-7529
(703) 910-7555
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-4523
AK
101YM0800X
Mental Health Counselor
4402
GA
101YM0800X
Mental Health Counselor
456
AK
101YM0800X
Mental Health Counselor
NC # 9490
NC
101YM0800X
Mental Health Counselor
PRC14303
DC
101YM0800X
Mental Health Counselor
Primary
VA #0701005309
VA
101YP2500X
Professional Counselor
9384
SC
101YP2500X
Professional Counselor
CC7371
ME
101YP2500X
Professional Counselor
PC7218
ME
Other
Enumeration date
07/07/2006
Last updated
05/20/2024
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