Healthcare Provider Details

I. General information

NPI: 1215745732
Provider Name (Legal Business Name): ELIZABETH MACDONALD-OLSON LAPC, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH MACDONALD LAPC, LAC

II. Dates (important events)

Enumeration Date: 12/30/2024
Last Update Date: 01/14/2026
Certification Date: 01/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 4TH ST NE STE 1
DEVILS LAKE ND
58301-2542
US

IV. Provider business mailing address

1011 3RD AVE
CANDO ND
58324-6109
US

V. Phone/Fax

Practice location:
  • Phone: 701-665-3263
  • Fax:
Mailing address:
  • Phone: 701-230-9394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number2044
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1418-1-1-25A
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: