Provider Demographics
NPI:1780750026
Name:OLSON, CARA (MFT)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:OLSON
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 CAMINO DEL RIO S
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3800
Mailing Address - Country:US
Mailing Address - Phone:619-277-2094
Mailing Address - Fax:619-466-5117
Practice Address - Street 1:2801 CAMINO DEL RIO S
Practice Address - Street 2:SUITE 202
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3800
Practice Address - Country:US
Practice Address - Phone:619-277-2094
Practice Address - Fax:619-466-5117
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health