JOHN ODOM LCDCI NPI 1396310868

NPI Information

NPI: 1396310868
Provider Name: JOHN ODOM, LCDCI
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
12337 JONES RD STE 200-12
HOUSTON, TX
ZIP 77070
Phone: (903) 345-4545
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John Odom, LCDCI is an addiction (substance use disorder) counselor in Houston, TX. John Odom, LCDCI NPI is 1396310868. 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:

12337 JONES RD STE 200-12
HOUSTON, TX
ZIP 77070-893
Phone: (903) 345-4545

The enumeration date for this NPI number is 5/26/2021 and was last updated on 5/26/2021.

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	171M00000X	Case Manager/Care Coordinator				No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	48635	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	408900501	MEDICAID	TEXAS

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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