Individual
MELISSA ODEGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
500 S 11TH AVE, SUITE 302, POCATELLO, ID 83201-4835
(208) 233-0150
Mailing address
455 N 16TH AVE, POCATELLO, ID 83201-4053
(208) 236-1600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
LPC369
ID
Other
Enumeration date
05/23/2007
Last updated
09/11/2025
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