Provider Demographics
NPI:1629944574
Name:OLSTAD, DEINA (MA, CMHC)
Entity type:Individual
Prefix:
First Name:DEINA
Middle Name:
Last Name:OLSTAD
Suffix:
Gender:F
Credentials:MA, CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:296 W HILL RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:VT
Mailing Address - Zip Code:05443-9706
Mailing Address - Country:US
Mailing Address - Phone:802-234-1256
Mailing Address - Fax:
Practice Address - Street 1:14 SCHOOL ST STE 203-3
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:VT
Practice Address - Zip Code:05443-1240
Practice Address - Country:US
Practice Address - Phone:802-234-1256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT097.0135364101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health