Organization
LIFEWALK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI OLSON LCMHC (PSYCHOTHERAPIST)
(941) 875-4338
Entity
Organization
Contact information
Practice address
19 WASHINGTON ST, CONCORD, NH 03301-4341
(941) 875-4338
Mailing address
19 WASHINGTON ST, CONCORD, NH 03301-4341
(941) 875-4338
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1068
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003230269
NPI INDIVIDUAL NUMBER
—
01
—
1068
LCMHC NUMBER
NH
01
—
12533
LMHC NUMBER
FL
01
—
12727367
CAQH
—
05
—
3098584
—
NH
Enumeration date
12/06/2016
Last updated
02/07/2017
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