Individual
MR. ANDREW RAYMOND OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP
Contact information
Practice address
405 W STEWART STE A, PUYALLUP, WA 98371-5164
(800) 231-4303
(253) 272-0171
Mailing address
405 W STEWART STE A, PUYALLUP, WA 98371-5164
(800) 231-4303
(253) 272-0171
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61200273
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP61200273
WASHINGTON DEPARTMENT OF HEALTH
WA
Enumeration date
03/11/2022
Last updated
07/10/2024
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