Individual
JOHN R ODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIMHP LMHP LPC
Contact information
Practice address
8101 O ST STE 300, LINCOLN, NE 68510-2647
(402) 617-9143
(888) 959-0716
Mailing address
8101 O ST STE 300, LINCOLN, NE 68510-2647
(402) 617-9143
(888) 959-0716
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2907
NE
101YM0800X
Mental Health Counselor
Primary
250
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025069900
—
NE
01
—
714014000
MAGELLAN
—
01
—
85435
BLUE CROSS
NE
Enumeration date
08/14/2006
Last updated
12/14/2017
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