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NPI Code Detail

MEDICARE: KRISTINE NOEL OLSON APSW

MEDICARE:   KRISTINE NOEL OLSON  APSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor132869-121WI

General Provider Information

NPI Number : 1396467007
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINE NOEL OLSON APSW
Provider Business Mailing Address
First Line : 204 S ORANGE ST
Second Line :
City : RICHLAND CENTER
State : WI
Zip : 53581-2170
Country : US
Telephone Number : 608-383-1261
Fax Number : 608-383-1348
Provider Business Practice Location Address
First Line : 204 S ORANGE ST
Second Line :
City : RICHLAND CENTER
State : WI
Zip : 53581-2170
Country : US
Telephone Number : 608-383-1261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2022
Last Update Date : 09/19/2022

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Directions to “ KRISTINE NOEL OLSON APSW” Practice Location

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