Provider Demographics
NPI:1154668838
Name:OLSON, ASIA BRIANA (LCDC, LPC ASSOCIATE)
Entity type:Individual
Prefix:
First Name:ASIA
Middle Name:BRIANA
Last Name:OLSON
Suffix:
Gender:F
Credentials:LCDC, LPC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2212 A1 HILL RD
Mailing Address - Street 2:
Mailing Address - City:ARANSAS PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78336-6519
Mailing Address - Country:US
Mailing Address - Phone:361-244-1842
Mailing Address - Fax:
Practice Address - Street 1:1802 ENNIS JOSLIN RD APT 3310
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78412-4342
Practice Address - Country:US
Practice Address - Phone:361-244-1842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-15
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11266101YA0400X
TX96231101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)