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General NPI Number Information
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NPI Number | 1831767136
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Entity Type | Individual
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Provider Name | DEMI MARIE OLSTAD LPC
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Gender | Female
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Dates
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Enumeration Date | 06/14/2021
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 1375 N SCOTTSDALE RD STE 200
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City | SCOTTSDALE
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State | AZ
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Zip | 85257-3429
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Country | US
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Telephone | 480-877-9284
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Fax |
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Provider Business Mailing Address
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Address Line | 1535 N SCOTTSDALE RD APT 2152
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City | TEMPE
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State | AZ
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Zip | 85288-1590
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Country | US
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Telephone | 701-840-3615
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1137-6-15-21
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC-23179
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License Number State | AZ
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