Provider Demographics
NPI:1770674921
Name:OLSON, RAYA JEANNE (LMSW)
Entity type:Individual
Prefix:
First Name:RAYA
Middle Name:JEANNE
Last Name:OLSON
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8691 SUN BAY COURT
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:MI
Mailing Address - Zip Code:49690-8509
Mailing Address - Country:US
Mailing Address - Phone:231-620-8328
Mailing Address - Fax:
Practice Address - Street 1:8691 SUN BAY COURT
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:MI
Practice Address - Zip Code:49690-8509
Practice Address - Country:US
Practice Address - Phone:231-620-8328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801085345104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker