Provider Demographics
NPI:1225169907
Name:OLSEN, BRITTANY L (MA, MFT)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:L
Last Name:OLSEN
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:582 MARKET ST STE 317
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-5304
Mailing Address - Country:US
Mailing Address - Phone:415-810-6406
Mailing Address - Fax:
Practice Address - Street 1:582 MARKET ST STE 317
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-5304
Practice Address - Country:US
Practice Address - Phone:415-810-6406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC48725101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health