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Lisa Ellen Odegaard, MA,MFT
Mental Health Counselor in Medford, Oregon
NPI 1720382229

Lisa Ellen Odegaard is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Lisa Ellen Odegaard practices in Medford, OR and has the professional credentials of MA,MFT. The NPI Number for Lisa Ellen Odegaard is 1720382229 and holds a License No. MFC # 30449 (Oregon).

The current practice location address for Lisa Ellen Odegaard is 140 South Holly Street, Medford, OR and can be reached out via phone at 541-774-8200 and via fax at 541-774-7964.

Location: 140 South Holly Street, Medford, OR, 97501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720382229
Provider Name
Lisa Ellen Odegaard
Credential
MA,MFT
Provider Entity Type
Individual
Gender
Female
Address
140 South Holly Street, Medford, OR, 97501
Phone Number
541-774-8200
Fax Number
541-774-7964
Provider Enumeration Date
12/27/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
140 South Holly Street
City
Medford
State
Oregon
Zip
97501
Phone Number
541-774-8200
Fax Number
541-774-7964
person
Provider Business Mailing Address Details
Address
140 South Holly Street
City
Medford
State
Oregon
Zip
97501
Phone Number
541-774-8200
Fax Number
541-774-7964
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MFC # 30449 (California)
Definition
Definition to come...
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