Nicole Lynn Olaes, CRS Valid NPI
Individual provider · Peer Specialist · Scranton, PA
- NPI
- 1457978926
- Type
- Individual (Type 1)
- Primary specialty
- Peer Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 175T00000X
- License number
- 14047 (PA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2020-07-01
- Last updated
- 2020-07-01
Practice location
1020 W Lackawanna Ave
Scranton, PA 18504-2052
(570) 904-6000