Individual
AMY O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPC, TRS, CNC
Contact information
Practice address
407 HARDSCRABBLE RD, ROSWELL, GA 30075-1417
(770) 998-1017
(770) 998-3258
Mailing address
407 HARDSCRABBLE RD, ROSWELL, GA 30075-1417
(770) 998-1017
(770) 998-3258
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004163
GA
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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