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NPI Code Detail

MEDICARE: MS. ANNA L OLSEN LPC

MEDICARE:  MS. ANNA L OLSEN  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
1101YM0800XMental Health Counselor37PC00216200NJ

General Provider Information

NPI Number : 1942361415
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANNA L OLSEN LPC
Provider Business Mailing Address
First Line : 5 SMOKE RISE RD
Second Line :
City : KINNELON
State : NJ
Zip : 07405-2284
Country : US
Telephone Number : 973-838-1488
Fax Number :
Provider Business Practice Location Address
First Line : 5 SMOKE RISE RD
Second Line :
City : KINNELON
State : NJ
Zip : 07405-2284
Country : US
Telephone Number : 973-838-1488
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 07/08/2007

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Directions to “ MS. ANNA L OLSEN LPC” Practice Location

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