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NPI Code Detail

MEDICARE: ANGELA OLSEN

MEDICARE:   ANGELA  OLSEN
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 Counselor118291836004UT

General Provider Information

NPI Number : 1720697766
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA OLSEN
Provider Business Mailing Address
First Line : 1790 N STATE ST
Second Line :
City : OREM
State : UT
Zip : 84057-2025
Country : US
Telephone Number : 801-224-8255
Fax Number :
Provider Business Practice Location Address
First Line : 958 N 200 E
Second Line :
City : SPANISH FORK
State : UT
Zip : 84660-1247
Country : US
Telephone Number : 801-224-2313
Fax Number : 801-224-4475
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2020
Last Update Date : 02/09/2026

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Directions to “ ANGELA OLSEN ” Practice Location

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