Provider Demographics
NPI:1235563313
Name:OLSON, MONICA LYNNE (MS, LPCC)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:LYNNE
Last Name:OLSON
Suffix:
Gender:F
Credentials:MS, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 MAIN ST S STE 311
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-3956
Mailing Address - Country:US
Mailing Address - Phone:701-248-8315
Mailing Address - Fax:701-205-4593
Practice Address - Street 1:315 MAIN ST S STE 311
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-3956
Practice Address - Country:US
Practice Address - Phone:701-248-8315
Practice Address - Fax:701-205-4593
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-26
Last Update Date:2021-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1002-4-1-426101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional