Individual
DR. MARK ODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
33 2ND ST E, SUITE 4, KALISPELL, MT 59901-6108
(406) 755-5430
(406) 755-5430
Mailing address
PO BOX 9864, KALISPELL, MT 59904-2864
(406) 755-5430
(406) 755-5430
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LCPC 1164
MT
106H00000X
Marriage & Family Therapist
Primary
LMFT 0776
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
742060
BCBS PROVIDER NUMBER
MT
Enumeration date
12/17/2006
Last updated
09/11/2025
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