Individual
MICHAEL THOMAS O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A, CDPT
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-9628
(206) 744-9920
Mailing address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-9628
(206) 744-9920
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61113114
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60159333
WA
Other
Enumeration date
04/07/2014
Last updated
08/15/2023
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