Organization
LIFESTAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD OLSON CSAT, LCSW (PARTNER)
(801) 262-7409
Entity
Organization
Contact information
Practice address
151 E 5600 S STE 204, MURRAY, UT 84107-8146
(801) 262-2400
Mailing address
151 E 5600 S STE 204, MURRAY, UT 84107-8146
(801) 262-2400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
UT
Other
Enumeration date
01/21/2009
Last updated
07/21/2022
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