Provider Demographics
NPI:1629574041
Name:OLSON, CHRISTINE WHISTON (RADT1)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:WHISTON
Last Name:OLSON
Suffix:
Gender:F
Credentials:RADT1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 N STEVENSON ST
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-6024
Mailing Address - Country:US
Mailing Address - Phone:559-625-0440
Mailing Address - Fax:559-625-0460
Practice Address - Street 1:212 N STEVENSON ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-6024
Practice Address - Country:US
Practice Address - Phone:559-625-0440
Practice Address - Fax:559-625-0460
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)