Provider / Organization | NPI | Date Certified |
---|---|---|
ALTHEA R OLSON PC | 1326665217 | 2020-06-26 |
The organization Althea R Olson Pc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1326665217. Registration indicates Althea R Olson Pc is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, ) (Ambulatory Health Care Facilities, Clinic/Center) (Clinic/Center: Mental Health (Including Community Mental Health Center),, ) (Community Mental Health Center, ) (Clinic/Center Mental Health (Including Community Mental Health Center),, Ambulatory Health Care Facilities) (Clinic/Center, )
Address | City / State | Phone / Fax |
---|---|---|
2677 US Highway 34 Ste C | Oswego, IL 605438660 | 6305278877 / 6305278877 |
Code | Practice | License No State |
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1041C0700X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | |
261QM0801X PRIMARY | Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Mental Health (Including Community Mental Health Center), Community Mental Health Center Clinic/Center Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities Clinic/Center |
149008446 | MEDICAID | IL |