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NPI Code Detail

MEDICARE: CAITLIN OLSEN, MS, MFT-I, LLC

MEDICARE: CAITLIN OLSEN, MS, MFT-I, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management AgencyMI0510NV

General Provider Information

NPI Number : 1588110175
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAITLIN OLSEN, MS, MFT-I, LLC
Provider Business Mailing Address
First Line : 2344 HUNTSVILLE DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-0431
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6268 S RAINBOW BLVD
Second Line : BUILDING A, SUITE 110
City : LAS VEGAS
State : NV
Zip : 89118-3240
Country : US
Telephone Number : 702-800-2207
Fax Number :
Authorized Official
Title or Position : MARRIAGE/ FAMILY THERAPIST INTERN
Name : CAITLIN OLSEN
Credential : MS, MFT
Telephone Number : 702-748-9638
Provider Enumeration Date : 09/01/2016
Last Update Date : 09/01/2016

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Directions to “CAITLIN OLSEN, MS, MFT-I, LLC ” Practice Location

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