Individual
DIANE K OLSON-BURKHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, NCC, RPT-S06
Contact information
Practice address
502 WALL ST, SUITE 105, VALPARAISO, IN 46383
(260) 519-1234
(574) 269-3995
Mailing address
502 WALL ST, SUITE 105, VALPARAISO, IN 46383
(260) 519-1234
(574) 269-3995
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001475A
IN
Other
Enumeration date
05/23/2005
Last updated
07/25/2019
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