Organization
JULIE ODONNELL PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE ANN ODONNELL PHD (OWNER)
(785) 288-8172
Entity
Organization
Contact information
Practice address
708 S WOODBINE RD STE A, SAINT JOSEPH, MO 64507
(816) 248-8929
(816) 873-1220
Mailing address
PO BOX 8575, SAINT JOSEPH, MO 64508-8575
(816) 248-8929
(816) 873-1220
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2018012574
MO
Other
Enumeration date
06/13/2018
Last updated
07/13/2018
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