MEDICARE: COURTNEY OLSON

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	101YP2500X	Professional Counselor	180.017465	IL

General Provider Information

NPI Number	:	1861343071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY OLSON

Provider Business Mailing Address
First Line	:	1742 N HUMBOLDT BLVD APT 204
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-5149
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1742 N HUMBOLDT BLVD APT 204
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-5149
Country	:	US
Telephone Number	:	563-379-9555
Fax Number	:

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

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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Directions to “ COURTNEY OLSON ” Practice Location

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