| Doctor Name: | THOMAS J ODELL |
| NPI Number: | 1093853061 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LISW, LICDC |
| License Number: | 923172 |
| Business Practice Address: | 647 Hill Rd N Ste B Pickerington, OH - 431479347 |
| Business Phone Number: | 6148336900 |
| Business Fax Number: | 6148336903 |
| Mailing Address: | 647 Hill Rd N Ste B, PICKERINGTON |
| State: | OH |
| Postal Code: | 431479347 |
| Phone Number: | 6148336900 |
| Fax Number: | 6148336903 |
| NPI Enumeration Date: | 02/02/2007 |
| NPI Last Update Date: | 08/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 923172 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |