Individual
NICOLE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC
Contact information
Practice address
121 W MAIN ST, PORT WASHINGTON, WI 53074-1813
(262) 284-8142
(262) 284-8104
Mailing address
121 W MAIN ST, PORT WASHINGTON, WI 53074-1813
(262) 284-8142
(262) 284-8104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16319-132
WI
1041C0700X
Clinical Social Worker
Primary
9135-123
WI
Other
Enumeration date
06/01/2016
Last updated
10/18/2022
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