Individual
GREGIRY A. OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUDPT
Contact information
Practice address
1413 E COLLEGE WAY, MOUNT VERNON, WA 98273-5616
(360) 397-8246
Mailing address
1413 E COLLEGE WAY, MOUNT VERNON, WA 98273-5616
(360) 397-8246
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61511123
WA
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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