MELISSA ODEGARD

POCATELLO, ID
NPI1710197942
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: ID  LPC369)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
-- MELISSA ODEGARD LPC
500 S 11TH AVE SUITE 302
POCATELLO, ID 83201-4835
Phone number: 208-233-0150
Mailing Address
-- MELISSA ODEGARD LPC
455 N 16TH AVE
POCATELLO, ID 83201-4053
Phone number: 208-236-1600