Provider Demographics
NPI:1538991047
Name:OLSEN, TRISHA LOUISE (LMHCA)
Entity type:Individual
Prefix:MRS
First Name:TRISHA
Middle Name:LOUISE
Last Name:OLSEN
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20240 RICHMOND BEACH DR NW
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98177-2437
Mailing Address - Country:US
Mailing Address - Phone:206-718-7219
Mailing Address - Fax:
Practice Address - Street 1:20240 RICHMOND BEACH DR NW
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98177-2437
Practice Address - Country:US
Practice Address - Phone:206-718-7219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-14
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61543141101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health