| Doctor Name: | MR. HOWARD OLSEN |
| NPI Number: | 1275519688 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC, LMSW, LM |
| License Number: | 11962 |
| Business Practice Address: | 4700 N Beach St Haltom City, TX - 761373221 |
| Business Phone Number: | 8178469718 |
| Business Fax Number: | |
| Mailing Address: | Po Box 48675, FT WORTH |
| State: | TX |
| Postal Code: | 761480675 |
| Phone Number: | 8178469718 |
| Fax Number: | |
| NPI Enumeration Date: | 12/16/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 11962 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |