Olson-Larson, Tara Renae

Olson-Larson, Tara Renae is an individual health care provider with primary practice located at 4105 S Carnegie Pl , Sioux Falls SD 57106-2360. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Olson-Larson, Tara Renae can be contacted via phone (605) 323-2345.

Contact Information

Primary practice address
4105 S Carnegie Pl Sioux Falls SD 57106-2360
Phone: (605) 323-2345
Fax: (605) 323-2822
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC1084 South Dakota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPCMH2120 South Dakota

Profile Details

NPI number 1194711085
LBN Legal business name Olson-Larson, Tara Renae
Credentials MA LPC MH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Nov 16th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194711085 NPPES
South Dakota MEDICAID 6575440

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