Provider Demographics
NPI:1588876304
Name:OLESEN, ARLENE MARIAN (MS, CFT, LMHC, LMFT)
Entity type:Individual
Prefix:MS
First Name:ARLENE
Middle Name:MARIAN
Last Name:OLESEN
Suffix:
Gender:F
Credentials:MS, CFT, LMHC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 EMERALD KEY LN
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-4022
Mailing Address - Country:US
Mailing Address - Phone:516-263-6649
Mailing Address - Fax:
Practice Address - Street 1:115 EMERALD KEY LN
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-4022
Practice Address - Country:US
Practice Address - Phone:516-263-6649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPMT132106H00000X
NY000067-1106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist