Provider Demographics
NPI:1518601210
Name:OLSON, MARGARET A (MACP)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:A
Last Name:OLSON
Suffix:
Gender:F
Credentials:MACP
Other - Prefix:MRS
Other - First Name:MARGARET
Other - Middle Name:A
Other - Last Name:MCDERMITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:39 FAIRVIEW CIRCLE
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:VT
Mailing Address - Zip Code:05753
Mailing Address - Country:US
Mailing Address - Phone:802-349-2104
Mailing Address - Fax:
Practice Address - Street 1:39 FAIRVIEW CIRCLE
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:VT
Practice Address - Zip Code:05753
Practice Address - Country:US
Practice Address - Phone:802-349-2104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X, 103TC1900X
VT097.0135053101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling