Individual provider · Type 1 NPI

Marian Ruth Bauman-O'Dell, LMHC, CASAC

Mental Health Counselor · Rochester, NY

NPI number 1609015635 Active

Practice location

1355 Titus Ave
Rochester, NY 14622-1731

Call (585) 748-1209 Map

Mailing address

560 Barry Rd
Rochester, NY 14617-4742

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X4223 (NY)
Mental Health Counselor Primary 101YM0800X000846 (NY)

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About NPI 1609015635

Marian Ruth Bauman-O'Dell, LMHC, CASAC's National Provider Identifier is 1609015635, issued on Feb 15, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rochester, NY. The record was last updated on Feb 15, 2009.