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General NPI Number Information
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NPI Number | 1992928303
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Entity Type | Individual
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Provider Name | LAWRENCE M. OLSON LPC, MAC, CDCI
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Gender | Male
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 9000 GLACIER HWY STE 204
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City | JUNEAU
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State | AK
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Zip | 99801-8097
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Country | US
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Telephone | 907-321-5104
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 21008
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City | JUNEAU
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State | AK
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Zip | 99802-1008
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Country | US
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Telephone | 907-321-5104
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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 | 2186
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License Number State | AK
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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 | 24
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License Number State | AK
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