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Individual

ADRIAN L. ODOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, ADC

Contact information

Practice address
108 PALMETTO PARK BLVD STE D, LEXINGTON, SC 29072-7969
(803) 359-0666
Mailing address
PO BOX 388, WINNSBORO, SC 29180-0388

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
10/10/2018
Last updated
01/08/2025
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