Individual
KIMBERLY ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1265 INTERSTATE PKWY, AUGUSTA, GA 30909-6481
(706) 849-3386
Mailing address
465 WINN WAY STE 221, DECATUR, GA 30030-1723
(888) 588-8995
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
007734
GA
Other
Enumeration date
11/04/2014
Last updated
02/21/2025
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