Individual
MS. COLLEEN C ODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C
Contact information
Practice address
1033 SW YAMHILL ST, SUITE 401, PORTLAND, OR 97205-2545
(503) 545-6312
(503) 575-9162
Mailing address
1033 SW YAMHILL ST, SUITE 401, PORTLAND, OR 97205-2545
(503) 545-6312
(503) 575-9162
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C2159
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
C2159
OR
101YM0800X
Mental Health Counselor
C2159
OR
101YP2500X
Professional Counselor
Primary
C2159
OR
Other
Enumeration date
04/24/2008
Last updated
11/30/2016
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