Organization
ELLEN L ODOM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN ODOM MS, LPC (LICENSED PROFESSIONAL COUNSELOR)
(251) 379-9434
Entity
Organization
Contact information
Practice address
5700 REGENCY CT S, MOBILE, AL 36609-3277
(251) 379-9434
Mailing address
5700 REGENCY CT S, MOBILE, AL 36609-3277
(251) 379-9434
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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