Healthcare Provider Details

I. General information

NPI: 1518601210
Provider Name (Legal Business Name): MARGARET A. OLSON M.A.C.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. MARGARET A. MCDERMITT

II. Dates (important events)

Enumeration Date: 04/27/2022
Last Update Date: 04/27/2022
Certification Date: 04/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 FAIRVIEW CIRCLE
MIDDLEBURG VT
05753
US

IV. Provider business mailing address

39 FAIRVIEW CIRCLE
MIDDLEBURG VT
05753
US

V. Phone/Fax

Practice location:
  • Phone: 802-349-2104
  • Fax:
Mailing address:
  • Phone: 802-349-2104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number097.0135053
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: