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General NPI Number Information
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NPI Number | 1205783354
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Entity Type | Organization
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Legal Business Name | HEATHER E OLSEN LCSW LLC
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 95 GOLF COURSE RD STE 106
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City | LOGAN
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State | UT
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Zip | 84321-5990
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Country | US
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Telephone | 435-213-1023
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Fax |
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Provider Business Mailing Address
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Address Line | 95 GOLF COURSE RD STE 106
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City | LOGAN
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State | UT
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Zip | 84321-5990
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Country | US
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Telephone | 435-213-1023
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL SUPERVISOR/THERAPIST
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Name | HEATHER ELIZABETH OLSEN
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Credential | LCSW
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Telephone | 435-754-9554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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