Doctor Name: | MARY O'DONNELL |
NPI Number: | 1023366689 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 730 N Eastern Ave Suite 110 Las Vegas, NV - 89101 |
Business Phone Number: | 7027724864 |
Business Fax Number: | 8664428199 |
Mailing Address: | 730 N Eastern Ave, Suite 110 LAS VEGAS |
State: | NV |
Postal Code: | 89101 |
Phone Number: | 7027724864 |
Fax Number: | 8664428199 |
NPI Enumeration Date: | 08/29/2012 |
NPI Last Update Date: | 08/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |