Individual
MS. CLAIRISSA M. O'DEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
300 W CLARENDON AVE STE 470, PHOENIX, AZ 85013-3475
(602) 730-4450
(602) 391-2522
Mailing address
300 W CLARENDON AVE STE 470, PHOENIX, AZ 85013-3475
(847) 863-4196
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178.006898
IL
101YM0800X
Mental Health Counselor
Primary
LAC-20665
AZ
Other
Enumeration date
07/09/2012
Last updated
08/20/2024
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