Individual
MICHELLE RAYLEEN O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
103 MAPLE ST, BLUEFIELD, VA 24605-1009
(276) 385-2340
Mailing address
103 MAPLE ST, BLUEFIELD, VA 24605-1009
(276) 385-2340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704013734
VA
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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