Most Relevant Information
Provider Data
| NPI Number: | 1003255472 |
| Provider Name: | SARAH NICOLE OLSON VENNING LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | P008136 |
Most Important Dates
| Enumeration Date: | 06/19/2013 |
| Last Updated: | 06/30/2022 |
Provider Practice Location
14500 99TH AVE N
MAPLE GROVE
MN
553694730
Practice Location Phone/Fax
| Phone: | 6516000342 |
| Fax: |
Provider Mailing Location
14500 99TH AVE N
MAPLE GROVE
MN
553694730
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |