Provider Demographics
NPI:1922293091
Name:OLSON, NANCY G (LCSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:G
Last Name:OLSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:567 E LASSEN AVE
Mailing Address - Street 2:#204
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-0675
Mailing Address - Country:US
Mailing Address - Phone:530-343-0404
Mailing Address - Fax:
Practice Address - Street 1:567 E LASSEN AVE
Practice Address - Street 2:#204
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-0675
Practice Address - Country:US
Practice Address - Phone:530-343-0404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 19597103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical