Individual
ZOE ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 MCCOURTNEY RD, GRASS VALLEY, CA 95949-7453
(916) 936-7534
Mailing address
8912 VOLUNTEER LN, SACRAMENTO, CA 95826-3221
(916) 344-0199
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-UKQYGD
CA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
09/23/2024
Last updated
03/18/2025
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