Provider Demographics
NPI:1902922321
Name:OLSON-SCHUESSLER, DANUTA (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:DANUTA
Middle Name:
Last Name:OLSON-SCHUESSLER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 S MORRIS ST
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MD
Mailing Address - Zip Code:21654-1308
Mailing Address - Country:US
Mailing Address - Phone:815-236-5465
Mailing Address - Fax:
Practice Address - Street 1:111 W HIGH ST
Practice Address - Street 2:SUITE 204
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-5529
Practice Address - Country:US
Practice Address - Phone:410-620-0008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL25413101YA0400X
IL178.004708101YP2500X
MDLC4290101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)