Tammy Ann Olson, M.A., QMHP,QMRP
Individual provider Active NPI Mental Health Counselor · Mount Carroll, IL
NPI 1154577757 · NPPES record last updated Aug 14, 2008
Key facts
- NPI
- 1154577757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1122 Healthcare Dr
Mount Carroll, IL 61053-1461 - Phone
- (815) 244-1376
- Fax
- (815) 244-3074
- NPI assigned
- Aug 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1122 Healthcare Dr
Mount Carroll, IL 61053-1461
Mailing address
105 N Washington St
P.O. Box 74
Elizabeth, IL 61028-9330
Phone (815) 988-0983
Other providers in Mount Carroll, IL
- Natalie Kay Marshall
- Paula Kay Maxwell
- Jody L McWhorter
- Jennifer Miller
- Mount Carroll Fire Protection District
- Desirae Patrick
- Pharmacy Center Inc.
- Katelyn Renee Phillips
- Michelle L Polizzi
- Melisa M Pope-Reedy
All providers in Mount Carroll, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.