Individual
KEVIN EUGENE ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCS-I, LCAS, LCMHC-A
Contact information
Practice address
231 S TWIN HILL RD, CLEMMONS, NC 27012-6740
(252) 686-3025
Mailing address
231 S TWIN HILL RD, CLEMMONS, NC 27012-6740
(252) 686-3025
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-26159
NC
101YM0800X
Mental Health Counselor
LCMHC-A16107
NC
Other
Enumeration date
01/07/2020
Last updated
02/14/2023
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