MEDICARE: AMBER TEEL OLSON LPC

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
1	101Y00000X	Counselor	1944	KS

General Provider Information

NPI Number	:	1609144476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER TEEL OLSON LPC

Provider Business Mailing Address
First Line	:	5100 PITKIN AVE
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66106-1458
Country	:	US
Telephone Number	:	913-706-7241
Fax Number	:

Provider Business Practice Location Address
First Line	:	8218 NE PENCE RD
Second Line	:
City	:	PLEASANT VALLEY
State	:	MO
Zip	:	64068
Country	:	US
Telephone Number	:	816-699-2526
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2011
Last Update Date	:	12/08/2011

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