Individual
MS. JESSICA R ODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1795 MONTEREY RD, COLORADO SPRINGS, CO 80910-1823
(888) 948-6789
(877) 345-3501
Mailing address
1 KALISA WAY STE 101, PARAMUS, NJ 07652-3508
(888) 948-6789
(877) 345-3501
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09924403
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09146614
—
CO
Enumeration date
04/07/2017
Last updated
05/03/2023
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