Individual
MISS DIANNA OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CAP
Contact information
Practice address
22219 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL 32413-3227
(844) 311-1920
(850) 391-5864
Mailing address
PO BOX 683, DESTIN, FL 32540-0683
(850) 797-5369
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADC-002043-2014
FL
Other
Enumeration date
01/31/2016
Last updated
01/31/2016
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