Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kyle Brent Odesha

Individual provider Mental Health Counselor · NPI 1023621950

Kyle Brent Odesha is a Mental Health Counselor in Medford, Oregon. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
Specialties on file
3

Practice location Address checks out

200 Beatty St
Medford, OR 97501-5811
Phone: (541) 476-2373
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Mental Health Counselor Taxonomy 101YM0800X
Community Health Worker Taxonomy 172V00000X (CA)

Record details

NPI number1023621950
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 29, 2020
Last updated in NPPESDecember 29, 2023
Certification dateDecember 29, 2023

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