Individual
KRISTEN PAIGE O'DELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 JACKSON WAY SW, JACKSONVILLE, AL 36265-4306
(256) 239-5662
Mailing address
1215 JACKSON WAY SW, JACKSONVILLE, AL 36265-4306
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2338A
AL
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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