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General NPI Number Information
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NPI Number | 1578666194
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Entity Type | Individual
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Provider Name | GAIL ANN OLSON PHD, LIMHP,LDAC
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Gender | Female
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 01/23/2009
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Provider Practice Location Address
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Address Line | 13057 W CENTER RD SUITE 25
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City | OMAHA
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State | NE
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Zip | 68144-3748
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Country | US
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Telephone | 402-214-4837
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Fax |
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Provider Business Mailing Address
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Address Line | 4808 N 170TH ST
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City | OMAHA
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State | NE
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Zip | 68116-3171
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Country | US
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Telephone | 402-214-4837
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 1165
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 184
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 263
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 683
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License Number State | NE
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