Individual
DIANE OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCLC
Contact information
Practice address
504 FORD ST, MISSOULA, MT 59801-4245
(406) 298-5161
Mailing address
PO BOX 1904, HAMILTON, MT 59840-1904
(406) 298-5161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-PCLC-LIC-64864
MT
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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