Individual provider · Type 1 NPI

Dale F. Oedekoven, M.A.

Professional Counselor · Gillette, WY

NPI number 1376698076 Active

Practice location

501 S Burma Ave
Gillette, WY 82716-3426

Fax (307) 688-5015

Mailing address

PO Box 101
Moorcroft, WY 82721-0101

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC 372 (WY)
Professional Counselor 101YP2500XLAT138 (WY)
Professional Counselor 101YP2500XNCC31988

Professional Counselor: Definition to come...

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About NPI 1376698076

Dale F. Oedekoven, M.A.'s National Provider Identifier is 1376698076, issued on Jan 24, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Gillette, WY. The record was last updated on Jul 8, 2007.