Individual provider · Type 1 NPI

Robert Wayne Odegaard, LADC

Addiction (Substance Use Disorder) Counselor · Woodbury, MN

NPI number 1568650778 Active

Practice location

7616 Currell Blvd
Woodbury, MN 55125-2290

Fax (651) 259-9790

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X301997 (MN)

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

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About NPI 1568650778

Robert Wayne Odegaard, LADC's National Provider Identifier is 1568650778, issued on Oct 12, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Woodbury, MN. The record was last updated on Oct 12, 2007.