Individual provider · Type 1 NPI

Clairissa M. O'Dea, LAC

Mental Health Counselor · Phoenix, AZ

NPI number 1710242532 Active

Practice location

300 W Clarendon Ave Ste 470
Phoenix, AZ 85013-3475

Fax (602) 391-2522

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X178.006898 (IL)
Mental Health Counselor Primary 101YM0800XLAC-20665 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1710242532

Clairissa M. O'Dea, LAC's National Provider Identifier is 1710242532, issued on Jul 9, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 20, 2024.