MS. IESHA ODUM MS CAADC LLPC NPI 1689008609

NPI Information

NPI: 1689008609
Provider Name: MS. IESHA ODUM, MS, CAADC, LLPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
79 W ALEXANDRINE ST
DETROIT, MI
ZIP 48201
Phone: (313) 831-5535
Get Directions

MS. Iesha Odum, MS, CAADC, LLPC is a professional counselor in Detroit, MI. MS. Iesha Odum, MS, CAADC, LLPC NPI is 1689008609. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

79 W ALEXANDRINE ST
DETROIT, MI
ZIP 48201-015
Phone: (313) 831-5535
Fax: (313) 831-2608

The enumeration date for this NPI number is 8/27/2013 and was last updated on 3/19/2014.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YM0800X	Counselor	Mental Health			No
3	101Y00000X	Counselor		6401013850	MICHIGAN	No
4	101YP2500X	Counselor	Professional	6401013850	MICHIGAN	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: 11/14/2023

NPI Synchronization or Removal

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