Individual
TASHAWNA LILLIAN OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
42173 ROSEWOOD COURT, HOMER, AK 99603-2914
(907) 235-8886
Mailing address
PO BOX 2914, HOMER, AK 99603-2914
(907) 235-8886
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
AA 25
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
825709000
MAGELLAN
AK
Enumeration date
12/30/2008
Last updated
12/30/2008
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