Individual
LESLIE RENAE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A, CADC
Contact information
Practice address
804 KELLOGG AVE, AMES, IA 50010-6234
(515) 233-4930
Mailing address
804 KELLOGG AVE, AMES, IA 50010-6234
(515) 233-4930
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12021
IA
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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