Provider Demographics
NPI:1962560573
Name:OLSEN, NANCY LEE (LPC)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:LEE
Last Name:OLSEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5094 PALOMA ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-5338
Mailing Address - Country:US
Mailing Address - Phone:303-514-9295
Mailing Address - Fax:
Practice Address - Street 1:8989 HURON ST
Practice Address - Street 2:COMMUNITY REACH CENTER
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80260-6858
Practice Address - Country:US
Practice Address - Phone:303-853-3500
Practice Address - Fax:303-487-7240
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4221101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional