Provider Demographics
NPI:1477882207
Name:OLSEN, ZENA LYNN (PLMHC)
Entity Type:Individual
Prefix:MS
First Name:ZENA
Middle Name:LYNN
Last Name:OLSEN
Suffix:
Gender:F
Credentials:PLMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 EUBANK BLVD NE APT 2702
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-6149
Mailing Address - Country:US
Mailing Address - Phone:505-271-4162
Mailing Address - Fax:
Practice Address - Street 1:4903 4TH ST NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-3905
Practice Address - Country:US
Practice Address - Phone:505-342-5950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-07
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMT 0127021101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health