Individual
AMANDA OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
508 W CENTRAL AVE STE B, ESTHERVILLE, IA 51334-1834
(800) 592-0180
Mailing address
508 W CENTRAL AVE STE B, ESTHERVILLE, IA 51334-1834
(800) 592-0180
(712) 566-5229
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001653
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3218245
—
IA
Enumeration date
08/20/2013
Last updated
02/06/2019
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