Individual
STEPHANIE RAE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., C.A.D.C.
Contact information
Practice address
712 BURNETT AVE, AMES, IA 50010-6128
(515) 233-5048
Mailing address
712 BURNETT AVE, AMES, IA 50010-6128
(515) 233-5048
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11132
IA
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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