Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON OLSEN, LPC
Active Sole ProprietorSHANNON OLSEN, LPC is a Professional Counselor healthcare provider located in HOMEDALE, Idaho. NPI 1720542400 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · HOMEDALE, ID
Registration Details
- NPI Number
- 1720542400
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2019 (7.4035250647047 yrs)
- Last Updated
- Jan 26, 2019
- License
-
LPC-4007 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4282 HOGG RDHOMEDALE, ID, 836283623Browse ID providers · Browse ZIP 83628
- Phone
- 2088698109
- Primary Specialty
-
Professional Counselor
101YP2500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.