Doctor Name: | MS. DENISE RANAE OLMSTEAD |
NPI Number: | 1033148853 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LAC |
License Number: | 1489 |
Business Practice Address: | 2605 Circle Dr Jamestown, ND - 584016905 |
Business Phone Number: | 7012533650 |
Business Fax Number: | 7012536400 |
Mailing Address: | 2605 Circle Dr, JAMESTOWN |
State: | ND |
Postal Code: | 584016905 |
Phone Number: | 7012533650 |
Fax Number: | 7012536400 |
NPI Enumeration Date: | 07/02/2006 |
NPI Last Update Date: | 02/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1489 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |