Provider Demographics
NPI:1730898008
Name:OLSEN-PETRICK, SARAH ANN (LPC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:OLSEN-PETRICK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ANN
Other - Last Name:OLSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:3418 HEARTWOOD PL SE
Mailing Address - Street 2:
Mailing Address - City:MANDAN
Mailing Address - State:ND
Mailing Address - Zip Code:58554-6235
Mailing Address - Country:US
Mailing Address - Phone:701-400-7292
Mailing Address - Fax:
Practice Address - Street 1:600 S 2ND ST
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58504-5726
Practice Address - Country:US
Practice Address - Phone:701-258-3780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-16
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1228-8-15-22101YP2500X
ND1228-8-15-22A101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional