| Doctor Name: | PROF. NECOLE LAYER OLMSTEAD |
| NPI Number: | 1700089067 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M. A. |
| License Number: | 2004020356 |
| Business Practice Address: | 123 Hudson St Camdenton, MO - 650206904 |
| Business Phone Number: | 5733370408 |
| Business Fax Number: | |
| Mailing Address: | 119 N Benton St, Po Box 514 WAYNESVILLE |
| State: | MO |
| Postal Code: | 655832501 |
| Phone Number: | 5734332833 |
| Fax Number: | 5734332829 |
| NPI Enumeration Date: | 06/06/2007 |
| NPI Last Update Date: | 06/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2004020356 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |