National Provider Identifier

Marian Ruth Bauman-O'Dell, LMHC, CASAC

Marian Ruth Bauman-O'Dell, LMHC, CASAC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 748-1209.

NPI 1609015635Rochester, NYMental Health Counselor

Profile Overview

NPI
1609015635
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
February 15, 2009
Last Updated
February 15, 2009

Practice Location

  • 1355 Titus Ave
  • Rochester, NY 14622-1731

Phone: (585) 748-1209

Mailing Address

  • 560 Barry RD
  • Rochester, NY 14617-4742

Specialties

  • Mental Health Counselor (101YM0800X)
  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1609015635
Entity Type
Individual
Last Name
Bauman-O'Dell
First Name
Marian
Middle Name
Ruth
Name Prefix
Mrs.
Credential
LMHC, CASAC
Mailing Street Address
560 Barry RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-4742
Mailing Country
US
Mailing Phone
(585) 748-1209
Practice Street Address
1355 Titus Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14622-1731
Practice Country
US
Practice Phone
(585) 748-1209
Enumeration Date
February 15, 2009
Last Updated
February 15, 2009
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X), Addiction (Substance Use Disorder) Counselor (101YA0400X)