Individual
MRS. TINA L OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1885 UNIVERSITY AVE W, SUITE 246, SAINT PAUL, MN 55104-3489
(612) 326-7565
Mailing address
24641 FONDANT AVE, FOREST LAKE, MN 55025-8797
(651) 249-5171
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303001
MN
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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