Basic Information
Provider Information | |||||||||
NPI: | 1902922321 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | OLSON-SCHUESSLER | ||||||||
FirstName: | DANUTA | ||||||||
MiddleName: |   | ||||||||
NamePrefix: | MRS. | ||||||||
NameSuffix: |   | ||||||||
Credential: | L.C.P.C | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 903 S MORRIS ST | ||||||||
Address2: |   | ||||||||
City: | OXFORD | ||||||||
State: | MD | ||||||||
PostalCode: | 216541308 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8152365465 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 111 W HIGH ST | ||||||||
Address2: | SUITE 204 | ||||||||
City: | ELKTON | ||||||||
State: | MD | ||||||||
PostalCode: | 219215529 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4106200008 | ||||||||
FaxNumber: |   | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 03/21/2007 | ||||||||
LastUpdateDate: | 04/04/2016 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | Y | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | 25413 | IL | N |   | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 101YP2500X | 178.004708 | IL | N |   | Behavioral Health & Social Service Providers | Counselor | Professional | 101YP2500X | LC4290 | MD | Y |   | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.