Doctor Name: | MRS. JOAN ODUM ORDMANDY |
NPI Number: | 1598820870 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 002219 |
Business Practice Address: | 190 N 21st St Suite B Purcellville, VA - 201323077 |
Business Phone Number: | 5403380477 |
Business Fax Number: | 5403380472 |
Mailing Address: | 38669 Eudora Ln, HAMILTON |
State: | VA |
Postal Code: | 201583307 |
Phone Number: | 5403380477 |
Fax Number: | 5403380472 |
NPI Enumeration Date: | 12/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 002219 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |