| Doctor Name: | SUSAN M OLSON |
| NPI Number: | 1144239047 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | 180001663 |
| Business Practice Address: | 1121 E Main St Suite 130 St Charles, IL - 601742205 |
| Business Phone Number: | 6305135576 |
| Business Fax Number: | 6305135657 |
| Mailing Address: | Po Box 1509, ELGIN |
| State: | IL |
| Postal Code: | 601211509 |
| Phone Number: | 2242384160 |
| Fax Number: | 8477830599 |
| NPI Enumeration Date: | 08/07/2006 |
| NPI Last Update Date: | 06/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 180001663 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |