Doctor Name: | MS. NANCY VIVIAN O'DELL |
NPI Number: | 1003892639 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 4086 |
Business Practice Address: | 225 Valley River Ave Suite D Murphy, NC - 289062988 |
Business Phone Number: | 8283615631 |
Business Fax Number: | 8288354593 |
Mailing Address: | Po Box 1407, MURPHY |
State: | NC |
Postal Code: | 289061407 |
Phone Number: | 8283615631 |
Fax Number: | 8288354593 |
NPI Enumeration Date: | 12/15/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4086 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |