person
Kevin Eugene Odom, CCS-I,LCAS,LCMHC-A
Addiction (Substance Use Disorder) Counselor in Clemmons, North Carolina
NPI 1932748068

Kevin Eugene Odom is an Addiction (Substance Use Disorder) Counselor based in Clemmons, NC and is specialized in Addiction (Substance Use Disorder). Kevin Eugene Odom practices in Clemmons, NC and has the professional credentials of CCS-I,LCAS,LCMHC-A. The NPI Number for Kevin Eugene Odom is 1932748068 and holds a License No. LCMHC-A16107 (North Carolina).

The current practice location address for Kevin Eugene Odom is 231 S Twin Hill Rd, Clemmons, NC and can be reached out via phone at 252-686-3025. You can also correspond with Kevin Eugene Odom through the mailing address at 231 S TWIN HILL RD, CLEMMONS, NC - 27012-6740 (mailing address contact number: 252-686-3025).

Location: 231 S Twin Hill Rd, Clemmons, NC, 27012-6740
person
Provider Profile Details
NPI Number
1932748068
Provider Name
Kevin Eugene Odom
Credential
CCS-I,LCAS,LCMHC-A
Provider Entity Type
Individual
Gender
Male
Address
231 S Twin Hill Rd, Clemmons, NC, 27012-6740
Phone Number
252-686-3025
Fax Number
Provider Enumeration Date
01/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
231 S Twin Hill Rd
City
State
Zip
27012-6740
Phone Number
252-686-3025
Fax Number
person
Provider Business Mailing Address Details
Address
231 S Twin Hill Rd
City
State
Zip
27012-6740
Phone Number
252-686-3025
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCAS-26159 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCMHC-A16107 (North Carolina)
Definition
Definition to come...
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