Individual
KATIE M OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7601 WAYZATA BLVD, ST LOUIS PARK, MN 55426-1626
(612) 223-8898
Mailing address
211 N CEDAR ST, CHASKA, MN 55318-1833
(763) 245-3435
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305621
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MN
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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