Individual
KATHLEEN LOUISE ODELL-CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADT
Contact information
Practice address
7755 OUTING AVE, PASADENA, MD 21122-1515
(443) 440-5780
Mailing address
29 GAMBRILLS RD, SEVERN, MD 21144-3507
(443) 621-7044
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT2810
MD
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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