Provider Demographics
NPI:1144009184
Name:OLSON, RYAN COLLIN (MS, LPC)
Entity type:Individual
Prefix:MR
First Name:RYAN
Middle Name:COLLIN
Last Name:OLSON
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33888 HARMON RD
Mailing Address - Street 2:
Mailing Address - City:PINE
Mailing Address - State:CO
Mailing Address - Zip Code:80470-9623
Mailing Address - Country:US
Mailing Address - Phone:801-367-5439
Mailing Address - Fax:
Practice Address - Street 1:33888 HARMON RD
Practice Address - Street 2:
Practice Address - City:PINE
Practice Address - State:CO
Practice Address - Zip Code:80470-9623
Practice Address - Country:US
Practice Address - Phone:801-367-5439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0019325101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health