Provider Demographics
NPI:1669261491
Name:OLSON, KYLIE LYNN (LPCC)
Entity type:Individual
Prefix:
First Name:KYLIE
Middle Name:LYNN
Last Name:OLSON
Suffix:
Gender:
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 MARKET ST STE 220
Mailing Address - Street 2:
Mailing Address - City:CHANHASSEN
Mailing Address - State:MN
Mailing Address - Zip Code:55317-4588
Mailing Address - Country:US
Mailing Address - Phone:612-389-7002
Mailing Address - Fax:
Practice Address - Street 1:600 MARKET ST STE 220
Practice Address - Street 2:
Practice Address - City:CHANHASSEN
Practice Address - State:MN
Practice Address - Zip Code:55317-4588
Practice Address - Country:US
Practice Address - Phone:612-389-7002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4991101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health