Search › Wisconsin › 101YA0400X
Jeremiah Olson, CSAC, ICS
NPI 1952455800 · on the registry since 2007
Practice
- Address
- 1300 South Drive
Winnebago, WI 54985 - Phone
- (920) 235-4910
- Fax
- (920) 237-2043
- Organisation at this address
- Winnebago Mental Health Institute
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 39
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-10-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin