Individual
DANIELLE N OLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LISAC
Contact information
Practice address
6262 E BROADWAY RD, MESA, AZ 85206-6101
(480) 664-4053
(480) 664-4108
Mailing address
2359 E CAROL AVE, MESA, AZ 85204-2911
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LASAC-15249
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-15192
AZ
Other
Enumeration date
09/18/2017
Last updated
01/16/2024
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