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General NPI Number Information
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NPI Number | 1154668838
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Entity Type | Individual
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Provider Name | ASIA BRIANA OLSON LCDC, LPC ASSOCIATE
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Gender | Female
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Dates
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Enumeration Date | 01/15/2013
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Last Update Date | 09/14/2024
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Provider Practice Location Address
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Address Line | 1802 ENNIS JOSLIN RD APT 3310
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City | CORPUS CHRISTI
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State | TX
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Zip | 78412-4342
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Country | US
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Telephone | 361-244-1842
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Fax |
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Provider Business Mailing Address
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Address Line | 2212 A1 HILL RD
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City | ARANSAS PASS
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State | TX
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Zip | 78336-6519
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Country | US
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Telephone | 361-244-1842
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 11266
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 96231
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License Number State | TX
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