Provider Demographics
NPI:1427150499
Name:OLSON, CAROL ANN (LPC, ATR-BC, CSAC)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:ANN
Last Name:OLSON
Suffix:
Gender:F
Credentials:LPC, ATR-BC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 W MAIN ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220-4687
Mailing Address - Country:US
Mailing Address - Phone:804-355-2502
Mailing Address - Fax:
Practice Address - Street 1:1520 W MAIN ST
Practice Address - Street 2:SUITE 104
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-4687
Practice Address - Country:US
Practice Address - Phone:804-355-2502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710101639101YA0400X
VA0701004001101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA070100-4001OtherLICENSED PROFESSIONAL COU