Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | MFC29190 | CA |
N | 103T00000X | Psychologist | MFC29190 | CA |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | MFC29190 | CA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | MFT29190 | CA |
NPI | 1194874651 |
---|---|
Provider Name | Ms. Christine Anne Olson |
First Address | Santa Barbara, CA 93101-8404 |
Second Address | Santa Barbara, CA 93101-8404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 08/07/2007 |