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Individual

ALISON OLSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC

Contact information

Practice address
440 HENDERSON ST STE C, GRASS VALLEY, CA 95945-7374
(530) 273-9541
(530) 273-7740
Mailing address
15344 ORCHARD SPRINGS RD, GRASS VALLEY, CA 95945-7951
(530) 273-9541
(530) 273-7740

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
971
NV

Other

Enumeration date
05/01/2007
Last updated
07/08/2007
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