Individual
CASEY ODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
713 ZUNI ST, TAOS, NM 87571-5202
(575) 252-3028
Mailing address
713 ZUNI ST OFC, TAOS, NM 87571-5202
(575) 252-3028
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CCMH0223691
NM
101YM0800X
Mental Health Counselor
0013560
CO
101YM0800X
Mental Health Counselor
939
AK
Other
Enumeration date
09/18/2009
Last updated
05/05/2026
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