Odom, Kevin Eugene

Odom, Kevin Eugene is an individual health care provider with primary practice located at 231 S Twin Hill Rd , Clemmons NC 27012-6740. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Odom, Kevin Eugene can be contacted via phone (252) 686-3025.

Contact Information

Primary practice address
231 S Twin Hill Rd Clemmons NC 27012-6740
Phone: (252) 686-3025
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCMHC-A16107 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS-26159 North Carolina

Profile Details

NPI number 1932748068
LBN Legal business name Odom, Kevin Eugene
Credentials CCS-I, LCAS, LCMHC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2020
Last updated Feb 14th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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