Odegard, Melissa

Odegard, Melissa is an individual health care provider with primary practice located at 500 S 11Th Ave Suite 302, Pocatello ID 83201-4835. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Odegard, Melissa can be contacted via phone (208) 233-0150.

Contact Information

Primary practice address
500 S 11Th Ave Suite 302 Pocatello ID 83201-4835
Phone: (208) 233-0150
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC369 Idaho

Profile Details

NPI number 1710197942
LBN Legal business name Odegard, Melissa
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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