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Melissa Odegard, LPC
Mental Health Counselor in Pocatello, Idaho
NPI 1710197942

Melissa Odegard is a Mental Health Counselor based in Pocatello, ID and is specialized in Mental Health. Melissa Odegard practices in Pocatello, ID and has the professional credentials of LPC. The NPI Number for Melissa Odegard is 1710197942 and holds a License No. (Idaho).

The current practice location address for Melissa Odegard is 500 S 11Th Ave, Pocatello, ID and can be reached out via phone at 208-233-0150.

Location: 500 S 11Th Ave, Pocatello, ID, 83201-4053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710197942
Provider Name
Melissa Odegard
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
500 S 11Th Ave, Pocatello, ID, 83201-4053
Phone Number
208-233-0150
Fax Number
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
500 S 11Th Ave
City
Pocatello
State
Idaho
Zip
83201-4835
Phone Number
208-233-0150
Fax Number
person
Provider Business Mailing Address Details
Address
500 S 11Th Ave
City
Pocatello
State
Idaho
Zip
83201-4835
Phone Number
208-233-0150
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LPC369 (Idaho)
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's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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