Individual
KATHERINE O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.L.P.C.
Contact information
Practice address
13160 CR 3610, ST. JAMES, MO 65559
(573) 265-3251
Mailing address
PO BOX 189, SAINT JAMES, MO 65559-0189
(573) 265-3251
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2012037176
MO
Other
Enumeration date
12/18/2012
Last updated
09/07/2023
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