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Deborah A Odom
Peer Specialist in Barstow, California
NPI 1508076423

Deborah A Odom is a Peer Specialist based in Barstow, CA. Deborah A Odom practices in Barstow, CA. The NPI Number for Deborah A Odom is 1508076423 and holds a License No. (California).

The current practice location address for Deborah A Odom is 222 E Main St # 117, Barstow, CA and can be reached out via phone at 760-255-1496 and via fax at 760-255-2542.

Location: 222 E Main St # 117, Barstow, CA, 92311-2361
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508076423
Provider Name
Deborah A Odom
Credential
Provider Entity Type
Individual
Gender
Female
Address
222 E Main St # 117, Barstow, CA, 92311-2361
Phone Number
760-255-1496
Fax Number
760-255-2542
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5401 01 CA SIMON STAFF NUMBER
institution
Provider Business Practice Location Address Details
Address
222 E Main St # 117
City
Barstow
State
California
Zip
92311-2361
Phone Number
760-255-1496
Fax Number
760-255-2542
person
Provider Business Mailing Address Details
Address
222 E Main St # 117
City
Barstow
State
California
Zip
92311-2361
Phone Number
760-255-1496
Fax Number
760-255-2542
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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