Individual
ROBIN LYNN O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AMFT/SUD-C
Contact information
Practice address
12608 S 125 W STE E, DRAPER, UT 84020-8437
(801) 810-1119
(801) 203-9216
Mailing address
12608 S 125 W STE E, DRAPER, UT 84020-8437
(801) 810-1119
(801) 203-9216
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8585303-6006
UT
106H00000X
Marriage & Family Therapist
8585303-3904
UT
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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