GARY OLSEN

PROVO, UT
NPI1487152203
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT  5264432-6006)
Enumeration Date2018-01-26
Last Update Date2020-06-10
Business Address
GARY OLSEN SUDC
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
Mailing Address
GARY OLSEN SUDC
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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