Individual
NATHAN OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, QMHP, CADC III
Contact information
Practice address
315 CHERRY WOOD, EAGLE POINT, OR 97524-6629
(541) 951-8168
Mailing address
315 CHERRY WOOD, EAGLE POINT, OR 97524-6629
(541) 951-8168
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
19-QMHPC-00526
OR
101YM0800X
Mental Health Counselor
QMHP
OR
104100000X
Social Worker
Primary
L30038
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500754425
—
OR
Enumeration date
03/29/2016
Last updated
11/19/2025
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