Mr. Olen Jade Dodd
Rehabilitation Counselor
206 Rustic Hills Dr
Crab Orchard
, West Virginia 25827-9658
Mr. Olen Jade Dodd
Rehabilitation Counselor
206 Rustic Hills Dr
Crab Orchard
, West Virginia 25827-9658
(304) 253-4537
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About
Features
Specialties
- Rehabilitation Counselor
Languages spoken
- English
Location
First Address
- Mr. Olen Jade Dodd
- Po Box 301
- Beckley, WV
- Zip : 25802-0301
- Fax : (304) 253-4537
- Phone : (304) 253-4537
Second Address
- Mr. Olen Jade Dodd
- 206 Rustic Hills Dr
- Crab Orchard, WV
- Zip : 25827-9658
- Fax : (304) 253-4537
- Phone : (304) 253-4537
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225C00000X | Rehabilitation Counselor | WV |
National Provider Identifier
| NPI | 1306054671 |
|---|---|
| Provider Name | Mr. Olen Jade Dodd |
| First Address | Beckley, WV 25802-0301 |
| Second Address | Crab Orchard, WV 25827-9658 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2007 |
| Last Update Date | 26/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| QRP00000196 | (02) | WV |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.