Individual
MITCHELL LEE OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
4154 SHORELINE DR STE 202, SPRING PARK, MN 55384-5606
(612) 562-9880
Mailing address
1074 LAKEWOOD CIR, WACONIA, MN 55387-2500
(763) 245-0990
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/30/2018
Last updated
07/17/2020
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