Provider Demographics
NPI:1699248567
Name:OLSON, NATALIE LEE (CDPT)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:LEE
Last Name:OLSON
Suffix:
Gender:F
Credentials:CDPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 SE ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-3031
Mailing Address - Country:US
Mailing Address - Phone:360-266-5029
Mailing Address - Fax:360-262-4392
Practice Address - Street 1:505 SE ADAMS AVE
Practice Address - Street 2:
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-3031
Practice Address - Country:US
Practice Address - Phone:360-266-5029
Practice Address - Fax:360-262-4392
Is Sole Proprietor?:No
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACO60837841101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)