Individual
JANIE ODEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3904 JOHN STOCKBAUER DR STE 111, VICTORIA, TX 77904-2456
(361) 894-6830
(855) 427-6619
Mailing address
605 BEDIVERE DR, VICTORIA, TX 77904-1843
(361) 564-6789
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
69571
TX
101YM0800X
Mental Health Counselor
69571
TX
Other
Enumeration date
04/13/2015
Last updated
12/09/2022
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