Individual
MR. JAMES F OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC, BCBA
Contact information
Practice address
212 FOX FARM RD, BRATTLEBORO, VT 05301-9135
(802) 579-5192
Mailing address
130 AUSTINE DR, BRATTLEBORO, VT 05301-7040
(802) 579-5192
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0680000656
VT
103K00000X
Behavior Analyst
00000000000000
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011330
—
VT
Enumeration date
12/04/2006
Last updated
07/13/2015
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