Marina V Olsen, MSC, CDP, NCAC
Individual provider Active NPI Professional Counselor · Onalaska, WA
NPI 1518158922 · NPPES record last updated Dec 7, 2012
Key facts
- NPI
- 1518158922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- CG 60288871 (WA)
- Practice address
- 136 Rice LN
Onalaska, WA 98570-9704 - Phone
- (360) 269-1266
- NPI assigned
- Aug 9, 2007
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP00000167 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| CG 60288871 | WA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP00000167 | WA | |
| Professional Counselor | 101YP2500X | CG 60288871 | WA | Yes |
Addresses
Primary practice location
136 Rice LN
Onalaska, WA 98570-9704
Mailing address
136 Rice LN
Onalaska, WA 98570-9704
Phone (360) 978-6989
Other providers in Onalaska, WA
- Kathleen Henry
- Mark R Leadbetter
- Lewis County Community Health Services
- Lewis County Fire Protection District 1
- Larry Meade
- Onalaska School District
- Jeri Parks
- Erik Steven Plantiko
- Quintessential Birth Services
- Merle Eleanor Walkup
All providers in Onalaska, WA · Professional Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2012. 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.