Individual provider · Type 1 NPI

Maryssa O'Dell

Mental Health Counselor · Fairbanks, AK

NPI number 1104337237 Active

Practice location

1423 Peger Rd
Fairbanks, AK 99709-5169

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104337237

Maryssa O'Dell's National Provider Identifier is 1104337237, issued on Oct 16, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairbanks, AK. The record was last updated on Oct 16, 2017.