Individual
MRS. KATHLEEN MARIA ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3415 DARLINGTON RD, MATTHEWS, NC 28105-6791
(704) 321-2687
Mailing address
3415 DARLINGTON RD, MATTHEWS, NC 28105-6791
(704) 321-2687
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5332
NC
101YP2500X
Professional Counselor
—
IL
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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