Doctor Name: | JOHN R ODELL |
NPI Number: | 1518970185 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LIMHP LMHP LPC |
License Number: | 2907 |
Business Practice Address: | 8101 O St Suite 101 Lincoln, NE - 685102646 |
Business Phone Number: | 4022613714 |
Business Fax Number: | 8889590716 |
Mailing Address: | 8101 O St, Suite 101 LINCOLN |
State: | NE |
Postal Code: | 685102646 |
Phone Number: | 4022613714 |
Fax Number: | 8889590716 |
NPI Enumeration Date: | 08/14/2006 |
NPI Last Update Date: | 06/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 2907 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
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 |