Active NPIIndividual provider

Gustave D Olson, LADC II

Counselor, Addiction (Substance Use Disorder) in Lynn, Massachusetts

NPI Number1184410219
Practice location
11 Circle Ave, Lynn, MA 01905-3050
Fax
781-596-0113
Last updated
June 2, 2025

Gustave David Olson is a Counselor, Addiction (Substance Use Disorder) based in Lynn, MA. Gustave David Olson practices in Lynn, MA and has the professional credentials of LADC II. The NPI Number for Gustave David Olson is 1184410219. The current practice location address for Gustave David Olson is 11 Circle Ave, Lynn, MA 01905-3050 and can be reached out via phone at 781-346-9941 and via fax at 781-596-0113.

Provider Profile Details

NPI Number
1184410219
Provider Name
Gustave David Olson
Credential
LADC II
Provider Entity Type
Individual
Gender
Male
Address
11 Circle Ave, Lynn, MA 01905-3050
Phone Number
781-346-9941
Fax Number
781-596-0113
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
April 16, 2025
Last Update Date
June 2, 2025
Certification Date
June 2, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Circle Ave
Lynn, MA 01905-3050
City
Lynn
Zip
01905-3050
Phone Number
781-346-9941
Fax Number
781-596-0113
Lynn, MA 01905Get directions →

Provider Business Mailing Address Details

Address
11 Circle Ave
Lynn, MA 01905-3050
City
Lynn
State
MA
Zip
01905-3050
Phone Number
781-346-9941
Fax Number
781-596-0113

License Information

License State
MA
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gustave D Olson, LADC II?

The NPI number of Gustave D Olson, LADC II is 1184410219. It was assigned on April 16, 2025 and is currently active in the NPPES registry.

What is the specialty of Gustave D Olson, LADC II?

Gustave D Olson, LADC II is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X).

Where does Gustave D Olson, LADC II practice?

The practice location is 11 Circle Ave, Lynn, MA 01905-3050. The office can be reached at 781-346-9941 (phone) or 781-596-0113 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184410219 directly on the NPPES registry website.

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