| Richard Odom, | |
|
213 E 2nd St, Fairmont, MN 56031-2814 | |
| (507) 236-1889 | |
| Not Available |
| Full Name | Richard Odom |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 213 E 2nd St, Fairmont, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689216483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 302138 (Minnesota) | Secondary |
| 101YM0800X | Counselor - Mental Health | 2346 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Odom, 213 E 2nd St, Fairmont, MN 56031-2814 Ph: (507) 236-1889 | Richard Odom, 213 E 2nd St, Fairmont, MN 56031-2814 Ph: (507) 236-1889 |
Mrs. Kelly Jean Hollingsworth, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1244 Albion Ave, Fairmont, MN 56031 Phone: 507-236-7568 | |
Stefanie Janet Jaquette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 117 Downtown Plz, Fairmont, MN 56031 Phone: 507-399-2149 Fax: 507-399-2159 | |
Mr. David Robert Rynders, L.I.C.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Downtown Plaza, #3, Fairmont, MN 56031 Phone: 507-735-8112 Fax: 507-235-8110 | |
Maurice Lee Shoen, Counselor Medicare: Accepting Medicare Assignments Practice Location: 115 West First St, Fairmont, MN 56031 Phone: 507-238-4757 Fax: 507-238-1574 | |
Miss Laura Emily Dekok, MS,LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1420 N State St, Fairmont, MN 56031 Phone: 507-235-6070 Fax: 855-847-9876 | |
Kristine Marie Shoen, LICSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 112 W 1st St, Suite 104, Fairmont, MN 56031 Phone: 507-399-2149 Fax: 507-399-2159 | |
Mrs. Elizabeth Ann Odom, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 E 2nd St, Fairmont, MN 56031 Phone: 507-238-4757 Fax: 507-238-1574 |