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NPI Code Detail

MEDICARE: KATHRYN SUSAN OLSON LPCC

MEDICARE:   KATHRYN SUSAN OLSON  LPCC
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
1101YP2500XProfessional Counselor1628MN
2101YM0800XMental Health CounselorCC01628MN

General Provider Information

NPI Number : 1790295459
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN SUSAN OLSON LPCC
Provider Business Mailing Address
First Line : 2925 CHICAGO AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1321
Country : US
Telephone Number : 612-262-9000
Fax Number :
Provider Business Practice Location Address
First Line : 2925 CHICAGO AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1321
Country : US
Telephone Number : 866-603-0016
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2017
Last Update Date : 01/05/2026

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Directions to “ KATHRYN SUSAN OLSON LPCC” Practice Location

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