Individual
MS. IESHA ODUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CAADC, LPC
Contact information
Practice address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(248) 747-2798
Mailing address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401013850
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
6401013850
MI
Other
Enumeration date
08/27/2013
Last updated
05/30/2024
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