Individual
TAYLOR ALEXANDRIA OLHEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3111 E BROADWAY AVE, BISMARCK, ND 58501-5085
(701) 751-0299
Mailing address
1619 31ST ST NW APT 110, MANDAN, ND 58554-1416
(701) 321-3153
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1925
ND
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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