Individual
CHRISTINE LYNN O'DELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LISAC
Contact information
Practice address
4735 E. FIRST AVE, TUCSON, AZ 85718
(520) 891-6720
Mailing address
4425 E. BULLRUSH LN, TUCSON, AZ 85712
(520) 891-6720
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-10770
AZ
101YM0800X
Mental Health Counselor
Primary
LPC-12689
AZ
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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