Individual provider · Type 1 NPI

Patrick Ryan Odom, LADC

Addiction (Substance Use Disorder) Counselor · Rochester, MN

NPI number 1417570805 Active

Practice location

2360 N Broadway
Rochester, MN 55906-4065

Fax (507) 282-6261

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X305643 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1417570805

Patrick Ryan Odom, LADC's National Provider Identifier is 1417570805, issued on May 20, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rochester, MN. The record was last updated on May 20, 2020.