Odell, Mark

Odell, Mark is an individual health care provider with primary practice located at 33 2Nd St E Suite 4, Kalispell MT 59901-6108. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Odell, Mark can be contacted via phone (406) 755-5430.

Contact Information

Primary practice address
33 2Nd St E Suite 4 Kalispell MT 59901-6108
Phone: (406) 755-5430
Fax: (406) 755-5430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LCPC 1164 Montana
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT 0776 Nevada

Profile Details

NPI number 1942363601
LBN Legal business name Odell, Mark
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942363601 NPPES
Montana Other 742060 BCBS PROVIDER NUMBER

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