Provider Demographics
NPI:1356148191
Name:OLSON, AIMEE B
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:B
Last Name:OLSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2009 W BELTLINE HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53713-2306
Mailing Address - Country:US
Mailing Address - Phone:608-630-8889
Mailing Address - Fax:608-200-7268
Practice Address - Street 1:2009 W BELTLINE HWY STE 200
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713-2306
Practice Address - Country:US
Practice Address - Phone:608-630-8889
Practice Address - Fax:608-200-7268
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8338-226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional