Individual
YVONNE LARAE OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
428 1ST AVE W, KALISPELL, MT 59901-4836
(406) 813-2082
Mailing address
428 1ST AVE W, KALISPELL, MT 59901-4836
(406) 813-2082
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
33036
MT
1041C0700X
Clinical Social Worker
33036
MT
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-33036
MT
Other
Enumeration date
11/05/2018
Last updated
08/31/2022
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