Individual
REBECCA ODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 AVIEMORE DR, PINEHURST, NC 28374-9797
(910) 235-3139
Mailing address
524 GABRIEL LN, ABERDEEN, NC 28315-3114
(910) 465-8332
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30610026
—
KY
Enumeration date
08/30/2011
Last updated
04/26/2024
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