Individual
RACHEL ODONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 SYCAMORE AVE STE 39, BOHEMIA, NY 11716-1736
(631) 219-5163
Mailing address
1650 SYCAMORE AVE STE 39, BOHEMIA, NY 11716-1736
(631) 219-5163
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
096226
NY
Other
Enumeration date
08/24/2019
Last updated
08/24/2019
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