Individual
SAMANTHA OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, SAC
Contact information
Practice address
4380 67TH DR # 1028, UNION GROVE, WI 53182-9338
(262) 397-9122
(262) 800-0623
Mailing address
4380 67TH DR # 1028, UNION GROVE, WI 53182-9338
(262) 397-9122
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1287-124
WI
106H00000X
Marriage & Family Therapist
632-228
WI
Other
Enumeration date
04/04/2018
Last updated
12/08/2023
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