Provider Demographics
NPI:1124309414
Name:OLSON, MARGUERITE C (LMFT)
Entity type:Individual
Prefix:
First Name:MARGUERITE
Middle Name:C
Last Name:OLSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:MARGUERITE
Other - Middle Name:C
Other - Last Name:VALDES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:236 VILLA POINT DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-6235
Mailing Address - Country:US
Mailing Address - Phone:949-275-5745
Mailing Address - Fax:
Practice Address - Street 1:236 VILLA POINT DR
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-6235
Practice Address - Country:US
Practice Address - Phone:949-275-5745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-31
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48971106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist