Healthcare Provider Details

I. General information

NPI: 1497577621
Provider Name (Legal Business Name): ANDREA OLSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2024
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 E CARSON ST STE 250
PITTSBURGH PA
15203-1957
US

IV. Provider business mailing address

2000 E CARSON ST STE 250
PITTSBURGH PA
15203-1957
US

V. Phone/Fax

Practice location:
  • Phone: 412-609-6762
  • Fax: 412-404-3972
Mailing address:
  • Phone: 412-609-6762
  • Fax: 412-404-3972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC020504
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: