JUSTIN OLMSTEAD MSMFT, LAC - NPI 1972204964

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

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About Justin Olmstead Msmft, Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN OLMSTEAD MSMFT, LAC (NPI 1972204964) is an individual counselor in Gilbert, Arizona, licensed in Arizona (LAC-21099) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1972204964

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameJUSTIN OLMSTEADCredential: MSMFT, LAC

Location Address3303 E BASELINE RD STE 109Gilbert, AZ 85234-2739

Mailing Address1734 E Silver Creek RdGilbert, AZ 85296-2041 · (480) 341-1885 · Fax (602) 753-9527

Phone(480) 341-1885

Fax(602) 753-9527

Sole ProprietorNo

Enumeration DateMarch 15, 2023

NPPES CertifiedMarch 15, 2023

✔ NPI 1972204964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in AZ · LAC-21099

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3303 E BASELINE RD STE 109, Gilbert, AZ 85234

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