Individual provider · Type 1 NPI

Lisa Ellen Odegaard, MA, MFT

Mental Health Counselor · Medford, OR

NPI number 1720382229 Active

Practice location

140 South Holly Street
Medford, OR 97501

Call (541) 774-8200 Map

Fax (541) 774-7964

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMFC # 30449 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1720382229

Lisa Ellen Odegaard, MA, MFT's National Provider Identifier is 1720382229, issued on Dec 27, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Dec 11, 2014.