Odell, Mark
Odell, Mark is an individual health care provider with primary practice located at 33 2Nd St E Suite 4, Kalispell MT 59901-6108. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Odell, Mark can be contacted via phone (406) 755-5430.Contact Information
Primary practice address
33 2Nd St E Suite 4
Kalispell MT 59901-6108
Phone: (406) 755-5430
Fax: (406) 755-5430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LCPC 1164 | Montana |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LMFT 0776 | Nevada |
Profile Details
| NPI number | 1942363601 |
|---|---|
| LBN Legal business name | Odell, Mark |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942363601 | NPPES |
| Montana | Other | 742060 | BCBS PROVIDER NUMBER |
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