Provider Demographics
NPI:1699135020
Name:OLSON, NELS ROBERT (MSW, CDC1, HTR)
Entity type:Individual
Prefix:
First Name:NELS
Middle Name:ROBERT
Last Name:OLSON
Suffix:
Gender:M
Credentials:MSW, CDC1, HTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20298
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99802-0298
Mailing Address - Country:US
Mailing Address - Phone:907-957-0197
Mailing Address - Fax:
Practice Address - Street 1:9000 GLACIER HWY STE 305
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-8097
Practice Address - Country:US
Practice Address - Phone:907-957-0197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-26
Last Update Date:2024-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)