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Ms. Iesha Odum, MS,CAADC,LPC
Mental Health Counselor in Detroit, Michigan
NPI 1689008609

Iesha Odum is a Mental Health Counselor based in Detroit, MI and is specialized in Mental Health. Iesha Odum practices in Detroit, MI and has the professional credentials of MS,CAADC,LPC. The NPI Number for Iesha Odum is 1689008609 and holds a License No. 6401013850 (Michigan).

The current practice location address for Iesha Odum is 2925 Russell St, Detroit, MI and can be reached out via phone at 248-747-2798.

Location: 2925 Russell St, Detroit, MI, 48207-4825
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689008609
Provider Name
Iesha Odum
Credential
MS,CAADC,LPC
Provider Entity Type
Individual
Gender
Female
Address
2925 Russell St, Detroit, MI, 48207-4825
Phone Number
248-747-2798
Fax Number
Provider Enumeration Date
08/27/2013
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
2925 Russell St
City
Detroit
State
Michigan
Zip
48207-4825
Phone Number
248-747-2798
Fax Number
person
Provider Business Mailing Address Details
Address
2925 Russell St
City
Detroit
State
Michigan
Zip
48207-4825
Phone Number
248-747-2798
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
6401013850 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
6401013850 (Michigan)
Definition
Definition to come...
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