Provider Demographics
NPI:1225648249
Name:OLSON, ERIN (MA, LMHCA, CTRS)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:OLSON
Suffix:
Gender:F
Credentials:MA, LMHCA, CTRS
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:LITTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CTRS
Mailing Address - Street 1:14937 89TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:YELM
Mailing Address - State:WA
Mailing Address - Zip Code:98597-8645
Mailing Address - Country:US
Mailing Address - Phone:336-414-3646
Mailing Address - Fax:
Practice Address - Street 1:202 CULLENS ST NW
Practice Address - Street 2:
Practice Address - City:YELM
Practice Address - State:WA
Practice Address - Zip Code:98597-9417
Practice Address - Country:US
Practice Address - Phone:360-400-4860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-04
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARE61231229225800000X
WAMC61481092101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist