Provider Demographics
NPI:1720746241
Name:OLSON, TAYLOR BRANDON I (LMHC)
Entity Type:Individual
Prefix:MR
First Name:TAYLOR
Middle Name:BRANDON
Last Name:OLSON
Suffix:I
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7625 8TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98106-2006
Mailing Address - Country:US
Mailing Address - Phone:253-225-7236
Mailing Address - Fax:
Practice Address - Street 1:7625 8TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98106-2006
Practice Address - Country:US
Practice Address - Phone:253-225-7236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-01
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61502445101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health