Shannon Olsen, LPC

NPI #1720542400 in Homedale, Idaho

Provider Information

NPI Number: 1720542400
Entity Type: Individual
Name: Shannon Olsen, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Jan 26, 2019
Last Updated: Jan 26, 2019

Practice Location

Address: 4282 HOGG RD
City: Homedale
State: Idaho
ZIP Code: 83628-3623
Phone: (208) 869-8109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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