Individual
MRS. GWYNN RENAE OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
901 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64086-5544
(816) 246-8000
(816) 246-8207
Mailing address
3549 NE AUSTIN DR, LEES SUMMIT, MO 64064-2056
(816) 876-8319
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2007013446
MO
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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