O'Donis Person

NPI 1164944633 · on the registry since 2017 · sole proprietor

Practice

Address: 901 W Mem Dr
Houghton, MI 49931
Phone: (906) 482-9404
Organisation at this address: Copper Country Mental Health
Copper Country Community Mental Health Services
Copper Country Community Mental Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 58

Registry record

Primary taxonomy: 163WP0808X
163WP0808X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-07-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan