Individual
RACHEL O'DIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, CDCA
Contact information
Practice address
452 W MARKET ST, XENIA, OH 45385-2815
(937) 376-8700
(937) 376-8725
Mailing address
452 W MARKET ST, XENIA, OH 45385-2815
(937) 376-8700
(937) 376-8725
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E1200243
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
110437
OH
Other
Enumeration date
07/01/2013
Last updated
03/23/2017
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