Individual provider · Type 1 NPI
Delores Henderson-Olson, BS
Addiction (Substance Use Disorder) Counselor · Shell Lake, WI
NPI number
1730286121
Active
Practice location
11 Fifth Ave
Shell Lake, WI 54871-0265
Fax (715) 468-2374
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1730286121
Delores Henderson-Olson, BS's National Provider Identifier is 1730286121, issued on Sep 20, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shell Lake, WI. The record was last updated on Jul 9, 2007.