Jacob Daniel Olson

NPI #1427700046 in Mora, Minnesota

Provider Information

NPI Number: 1427700046
Entity Type: Individual
Name: Jacob Daniel Olson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Marriage & Family Therapist
Enumeration Date: Jan 25, 2022
Last Updated: Jan 25, 2022

Practice Location

Address: 820 HOWE AVE STE 108
City: Mora
State: Minnesota
ZIP Code: 55051-1766
Phone: (320) 679-2438

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X	Primary

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