Odyssey Counseling Pa | |
306 E Stein Hwy Seaford DE 19973-1416 | |
(302) 629-0112 | |
(302) 628-9043 |
Full Name | Odyssey Counseling Pa |
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Speciality | Social Worker |
Location | 306 E Stein Hwy, Seaford, Delaware |
Authorized Official Name and Position | Kathleen E Naugle (PRESIDENT) |
Authorized Official Contact | 3026290112 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Odyssey Counseling Pa 306 E Stein Hwy Seaford DE 19973-1416 Ph: (302) 629-0112 | Odyssey Counseling Pa 306 E Stein Hwy Seaford DE 19973-1416 Ph: (302) 629-0112 |
NPI Number | 1043489966 |
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Provider Enumeration Date | 02/25/2008 |
Last Update Date | 06/09/2008 |
Medicare PECOS PAC ID | 1456310622 |
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Medicare Enrollment ID | O20041005000530 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043489966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Kathleen E Naugle |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1861537557 PECOS PAC ID: 3173582244 Enrollment ID: I20081001000156 |
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