Individual
CHAD D. OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
345 N YOSEMITE ST STE A, STOCKTON, CA 95203-2754
(209) 644-4829
Mailing address
345 N YOSEMITE ST STE A, STOCKTON, CA 95203-2754
(209) 644-4829
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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