Individual
BRIA ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3027 SAN DIEGO RD, JACKSONVILLE, FL 32207-3691
(904) 493-7744
Mailing address
2370 RED MOON DR, JACKSONVILLE, FL 32216-4708
(904) 710-7986
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH24096
FL
Other
Enumeration date
05/10/2021
Last updated
12/17/2024
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