Olsen, Melissa

Olsen, Melissa is an individual health care provider with primary practice located at 165 W Netherwood St Ste A , Oregon WI 53575-1107. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Olsen, Melissa can be contacted via phone (608) 835-5050.

Contact Information

Primary practice address
165 W Netherwood St Ste A Oregon WI 53575-1107
Fax: (608) 835-5050
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 582-228 Wisconsin

Profile Details

NPI number 1922512334
LBN Legal business name Olsen, Melissa
Credentials MFT-IT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2017
Last updated Nov 21st, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922512334 NPPES
Wisconsin Other 582-228 STATE LICENSE

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