Kaia Brielle Olson
Psychologist, Clinical Child & Adolescent in Cathedral Cty, CA. Individual provider (NPI-1).
NPI number1457072035
StatusActive
Last updated in NPPESSep 12, 2022
Details
- NPI
- 1457072035
- Entity type
- Individual (NPI-1)
- Name
- Kaia Brielle Olson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2022
- Certification date
- Sep 11, 2022
- Last updated
- Sep 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC2200X | Psychologist, Clinical Child & Adolescent | – | – | Yes |
Practice location
69823 Northhampton AveCathedral Cty, CA 92234-2591
Phone 760-449-0904
Mailing address
69823 Northhampton AveCathedral Cty, CA 92234-2591
Phone 760-449-0904
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