Individual
MS. GAIL ANN OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LIMHP,LDAC
Contact information
Practice address
13057 W CENTER RD, SUITE 25, OMAHA, NE 68144-3748
(402) 214-4837
Mailing address
4808 N 170TH ST, OMAHA, NE 68116-3171
(402) 214-4837
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1165
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
184
NE
101YM0800X
Mental Health Counselor
Primary
263
NE
101YP2500X
Professional Counselor
683
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68-0519414
FEDERAL TAX ID
NE
Enumeration date
09/07/2006
Last updated
01/23/2009
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