Individual
MR. MICHAEL DEAN OLESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
723 N TAYLOR ST, AMARILLO, TX 79107-5279
(806) 349-5629
(806) 345-7914
Mailing address
PO BOX 3250, AMARILLO, TX 79116-3250
(806) 349-5629
(806) 345-7914
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12239
TX
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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