Individual
SUSAN LYNNE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
7840 WASHINGTON AVE, KANSAS CITY, KS 66112-2152
(913) 328-4625
Mailing address
7840 WASHINGTON AVE, KANSAS CITY, KS 66112-2152
(913) 328-4625
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
772
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100098080C
SED WAIVER
KS
05
—
10009808A
—
KS
Enumeration date
03/08/2007
Last updated
06/27/2011
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