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Individual

KIMBERLY MARIE OLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
402 OFFICE PARK DR STE 101, MOUNTAIN BRK, AL 35223-2435
(205) 308-9314
Mailing address
540 EDGECREST CIR, HOMEWOOD, AL 35209-5906
(210) 213-5053

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4414
AL
101YM0800X
Mental Health Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51149811
BLUE CROSS BLUE SHIELD OF AL
AL
Enumeration date
03/20/2014
Last updated
06/07/2021
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