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NPI Code Detail

MEDICARE: CHRISTOPHER ALAN OLSEN

MEDICARE:   CHRISTOPHER ALAN 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
1106H00000XMarriage & Family Therapist4816MN

General Provider Information

NPI Number : 1912840901
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER ALAN OLSEN
Provider Business Mailing Address
First Line : 100 W FRANKLIN AVE STE 205
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55404-2433
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 W FRANKLIN AVE STE 205
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55404-2433
Country : US
Telephone Number : 651-336-8172
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ CHRISTOPHER ALAN OLSEN ” Practice Location

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