Individual provider · Type 1 NPI

Odell Lindy Terrell Iii

Mental Health Counselor · Greensboro, NC

NPI number 1104442789 Active

Practice location

912 N Elm St
Greensboro, NC 27401-1513

Mailing address

106 S Chapman St
Greensboro, NC 27403-1610

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA15770 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1104442789

Odell Lindy Terrell Iii's National Provider Identifier is 1104442789, issued on Jun 19, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Greensboro, NC. The record was last updated on Jun 19, 2020.