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Individual

MR. CHRISTIAN E ODOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
550 S ALASKA ST STE 202, PALMER, AK 99645-6372
(907) 746-6019
(907) 745-7565
Mailing address
550 S ALASKA ST STE 202, PALMER, AK 99645-6372
(907) 746-6019
(907) 745-7565

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1811042872
AK
Enumeration date
11/04/2020
Last updated
11/10/2020
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