Individual
CHERYL ODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1810 DOGWOOD DR, KOKOMO, IN 46902-5737
(765) 553-5691
(765) 553-5772
Mailing address
1112 VEACHS CT, PERU, IN 46970-3002
(765) 472-2323
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002405A
IN
Other
Enumeration date
07/29/2011
Last updated
12/08/2022
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