Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | ||
N | 101YS0200X | School Counselor |
NPI | 1104166529 |
---|---|
Provider Name | Anne Odenthal |
First Address | Uniontown, PA 15401-8936 |
Second Address | Greensburg, PA 15601-2678 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2013 |
Last Update Date | 10/07/2015 |