Individual
JOHN LEE ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
7120 GOFORTH ST, HOUSTON, TX 77021-5829
(346) 393-3251
Mailing address
7120 GOFORTH ST, HOUSTON, TX 77021-5829
(346) 393-3251
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17659
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
48635
TX
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408900501
—
TX
Enumeration date
05/26/2021
Last updated
03/24/2026
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