| Paul Olson Counseling Llc | |
|
308 Cleveland Ave Ste 302 Ishpeming MI 49849-1842 | |
| (906) 362-1491 | |
| Not Available |
| Full Name | Paul Olson Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 308 Cleveland Ave Ste 302, Ishpeming, Michigan |
| Authorized Official Name and Position | Paul Theodore Olson (OWNER) |
| Authorized Official Contact | 9063621491 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Olson Counseling Llc 308 Cleveland Ave Ste 302 Ishpeming MI 49849-1842 Ph: (906) 290-7492 | Paul Olson Counseling Llc 308 Cleveland Ave Ste 302 Ishpeming MI 49849-1842 Ph: (906) 362-1491 |
| NPI Number | 1326762535 |
|---|---|
| Provider Enumeration Date | 09/30/2022 |
| Last Update Date | 02/13/2023 |
| Certification Date | 02/13/2023 |
| Medicare PECOS PAC ID | 9133596356 |
|---|---|
| Medicare Enrollment ID | O20221101001626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326762535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Paul T Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336480854 PECOS PAC ID: 0547491359 Enrollment ID: I20140320000175 |
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