Jean S Odachowski, LPC | |
24 Clay St, Martinsville, VA 24112-2810 | |
(276) 632-7128 | |
(276) 632-0127 |
Full Name | Jean S Odachowski |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 24 Clay St, Martinsville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861451023 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701003937 (Virginia) | Primary |
Entity Name | Piedmont Regional Community Services Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699754010 PECOS PAC ID: 0345215208 Enrollment ID: O20090319000311 |
Mailing Address | Practice Location Address |
---|---|
Jean S Odachowski, LPC 24 Clay St, Martinsville, VA 24112-2810 Ph: (276) 632-7128 | Jean S Odachowski, LPC 24 Clay St, Martinsville, VA 24112-2810 Ph: (276) 632-7128 |
Lisa Mcintosh, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Clay St, Martinsville, VA 24112 Phone: 276-632-7128 | |
Lisa M Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1836 Virginia Ave, Martinsville, VA 24112 Phone: 419-580-1305 | |
Chassidy A Fitzgerald, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15a E Church St, Martinsville, VA 24112 Phone: 434-237-9450 Fax: 434-237-9454 | |
Heather Duncan, LPC Counselor Medicare: Medicare Enrolled Practice Location: 24 Clay St, Martinsville, VA 24112 Phone: 276-632-7128 Fax: 276-632-0127 | |
Rebekah Shelton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 445 Commonwealth Blvd E, Martinsville, VA 24112 Phone: 276-632-1113 Fax: 276-632-0923 | |
Mrs. Kelly Luther Koebel, LPC Counselor Medicare: Medicare Enrolled Practice Location: 24 Clay St, Martinsville, VA 24112 Phone: 276-632-7128 Fax: 276-632-0127 | |
Richard Patterson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 24 Clay St, Martinsville, VA 24112 Phone: 276-632-7128 Fax: 276-632-0127 |