KEVIN EUGENE ODOM CCS-I LCAS LCMHC-A NPI 1932748068

NPI Information

NPI: 1932748068
Provider Name: KEVIN EUGENE ODOM, CCS-I, LCAS, LCMHC-A
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
231 S TWIN HILL RD
CLEMMONS, NC
ZIP 27012
Phone: (252) 686-3025
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Kevin Eugene Odom, CCS-I, LCAS, LCMHC-A is an addiction (substance use disorder) counselor in Clemmons, NC. Kevin Eugene Odom, CCS-I, LCAS, LCMHC-A NPI is 1932748068. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

231 S TWIN HILL RD
CLEMMONS, NC
ZIP 27012-740
Phone: (252) 686-3025

The enumeration date for this NPI number is 1/7/2020 and was last updated on 2/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LCMHC-A16107	NORTH CAROLINA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCAS-26159	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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