Individual
LAURI OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
209 W WASHINGTON ST, WAUSAU, WI 54403-5475
(715) 845-3637
(715) 845-1977
Mailing address
201 N NORTHFORK DR, WAUSAU, WAUSAU, WI 54403-8970
(715) 298-9209
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16846-130
WI
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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