Provider Demographics
NPI:1497960512
Name:OLSON, ELIZABETH CATHERINE (MFC)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:CATHERINE
Last Name:OLSON
Suffix:
Gender:F
Credentials:MFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5853
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95502-5853
Mailing Address - Country:US
Mailing Address - Phone:707-441-5150
Mailing Address - Fax:
Practice Address - Street 1:901 5TH ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-1108
Practice Address - Country:US
Practice Address - Phone:707-441-5150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41943106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist