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Kenneth Odom, MA
Counselor in Canon City, Colorado
NPI 1598175515

Kenneth Odom is a Counselor based in Canon City, CO. Kenneth Odom practices in Canon City, CO and has the professional credentials of MA. The NPI Number for Kenneth Odom is 1598175515 and holds a License No. (Colorado).

The current practice location address for Kenneth Odom is 3239 Independence Rd, Canon City, CO and can be reached out via phone at 719-275-7650.

Location: 3239 Independence Rd, Canon City, CO, 81212-8659
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598175515
Provider Name
Kenneth Odom
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
3239 Independence Rd, Canon City, CO, 81212-8659
Phone Number
719-275-7650
Fax Number
Provider Enumeration Date
04/29/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3239 Independence Rd
City
Canon City
State
Colorado
Zip
81212-9380
Phone Number
719-275-7650
Fax Number
person
Provider Business Mailing Address Details
Address
3239 Independence Rd
City
Canon City
State
Colorado
Zip
81212-9380
Phone Number
719-275-7650
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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