Individual
PETER ODEGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 VALLEY WEST DR, WEST DES MOINES, IA 50266-1908
(515) 267-1340
Mailing address
1130 ELM ST, WEBSTER CITY, IA 50595-1925
(515) 297-2041
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0017849
CO
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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