Jordan Douglas Olson | Kirkland, WA • PECOS Search

Jordan Douglas Olson

Counselor

Behavioral Health & Social Service Providers

9757 NE Juanita Dr Ste 206, Kirkland, WA 98034-4299

PECOS Enrollment

Based on the most recent information from CMS, provider Jordan Douglas Olson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1821866567
Provider Type
Individual
Full Name
Olson, Jordan Douglas
Credential
LMHCA

Gender
Male
Sole Proprietor
No
Enumeration Date
12/12/2023
Last Updated
12/12/2023

Contact Information

Practice Location

9757 NE Juanita Dr Ste 206, Kirkland, WA 98034-4299

Unlisted Fax

Mailing Location

7802 Roosevelt Way NE, Seattle, WA 98115-4222

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 61469037 Washington