TIMOTHY OLSEN

CHICAGO, IL
NPI1699223370
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-09-12
Last Update Date2016-09-12
Business Address
-- TIMOTHY OLSEN
5905 W EASTWOOD AVE
CHICAGO, IL 60630-3104
Phone number: 312-545-5247
Mailing Address
-- TIMOTHY OLSEN
5905 W EASTWOOD AVE
CHICAGO, IL 60630-3104
Phone number: 312-545-5247