Provider Demographics
NPI:1194563205
Name:OLSSON, JULIE V (LMFT-A)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:V
Last Name:OLSSON
Suffix:
Gender:F
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 FAIRFIELD AVE APT 8
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06854-2101
Mailing Address - Country:US
Mailing Address - Phone:203-969-4718
Mailing Address - Fax:
Practice Address - Street 1:7 FAIRFIELD AVE APT 8
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06854-2101
Practice Address - Country:US
Practice Address - Phone:203-969-4718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist