MR. Jeremiah Lee Olson, CSAC, ICS

NPI #1952455800 in Winnebago, Wisconsin

Provider Information

NPI Number
1952455800
Entity Type
Individual
Name
MR. Jeremiah Lee Olson, CSAC, ICS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CSAC, ICS
Enumeration Date
Jan 22, 2007
Last Updated
Oct 28, 2010

Practice Location

Address
1300 SOUTH DRIVE
ZIP Code
54985-0009
Phone
(920) 235-4910

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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