Individual
PATRICK RYAN ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
2360 N BROADWAY, ROCHESTER, MN 55906-4065
(507) 282-0142
(507) 282-6261
Mailing address
2360 N BROADWAY, ROCHESTER, MN 55906-4065
(507) 282-0142
(507) 282-6261
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305643
MN
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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