Individual
MARK PATRICK ODLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMFT, MDIV
Contact information
Practice address
8441 WAYZATA BLVD, SUITE #160, GOLDEN VALLEY, MN 55426-1344
(763) 566-0088
Mailing address
8441 WAYZATA BLVD, SUITE #160, GOLDEN VALLEY, MN 55426-1344
(763) 566-0088
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/24/2008
Last updated
02/03/2012
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