# KEVIN EUGENE ODOM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1932748068
- **Gender:** Man
- **Credential:** CCS-I, LCAS, LCMHC-A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | LCAS-26159 | NC | Yes |
| 101YM0800X | Mental Health Counselor | LCMHC-A16107 | NC | — |

## Other

- **Enumeration date:** 01/07/2020
- **Last updated:** 02/14/2023