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Richard Odom
Mental Health Counselor in Fairmont, Minnesota
NPI 1689216483

Richard Odom is a Mental Health Counselor based in Fairmont, MN and is specialized in Mental Health. Richard Odom practices in Fairmont, MN. The NPI Number for Richard Odom is 1689216483 and holds a License No. 302138 (Minnesota).

The current practice location address for Richard Odom is 213 E 2Nd St, Fairmont, MN and can be reached out via phone at 507-236-1889.

Location: 213 E 2Nd St, Fairmont, MN, 56031-2814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689216483
Provider Name
Richard Odom
Credential
Provider Entity Type
Individual
Gender
Male
Address
213 E 2Nd St, Fairmont, MN, 56031-2814
Phone Number
507-236-1889
Fax Number
Provider Enumeration Date
10/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
213 E 2Nd St
City
Fairmont
State
Minnesota
Zip
56031-2814
Phone Number
507-236-1889
Fax Number
person
Provider Business Mailing Address Details
Address
213 E 2Nd St
City
Fairmont
State
Minnesota
Zip
56031-2814
Phone Number
507-236-1889
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
2346 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
302138 (Minnesota)
Definition
Definition to come...
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