Provider Demographics
NPI:1184504946
Name:OLSON, JOSEPH JAMES (LPCC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:JAMES
Last Name:OLSON
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4849 IVANHOE ST
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55804-1131
Mailing Address - Country:US
Mailing Address - Phone:218-336-8955
Mailing Address - Fax:
Practice Address - Street 1:4849 IVANHOE ST
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55804-1131
Practice Address - Country:US
Practice Address - Phone:218-336-8955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC5168101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health