Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | 736 | WY |
NPI | 1003181686 |
---|---|
Provider Name | Chelsea J Olson |
First Address | Wheatland, WY 82201-3102 |
Second Address | Wheatland, WY 82201-3102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2012 |
Last Update Date | 06/06/2013 |