Provider Demographics
NPI:1942803762
Name:OLSEN, BRITTNY D (MA, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:BRITTNY
Middle Name:D
Last Name:OLSEN
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3018 EVANSTON AVE
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16506-3137
Mailing Address - Country:US
Mailing Address - Phone:814-392-0462
Mailing Address - Fax:
Practice Address - Street 1:1116 W 7TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16502-1104
Practice Address - Country:US
Practice Address - Phone:814-461-5617
Practice Address - Fax:814-920-4137
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007277101YP2500X
PA6217067101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool