Organization
PEBBLE CREEK COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH ANN OLSON ED.D. (STAFF PSYCHOLOGIST)
(989) 224-4110
Entity
Organization
Contact information
Practice address
710 N MEAD ST, SAINT JOHNS, MI 48879-1332
(989) 224-4110
Mailing address
710 N MEAD ST, SAINT JOHNS, MI 48879-1332
(989) 224-4110
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301007036
MI
Other
Enumeration date
04/25/2007
Last updated
12/17/2008
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