Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN EUGENE ODOM, CCS-I, LCAS, LCMHC-A
DeactivatedKEVIN EUGENE ODOM, CCS-I, LCAS, LCMHC-A is a Addiction (Substance Use Disorder) Counselor healthcare provider located in CLEMMONS, North Carolina. NPI 1932748068 is deactivated in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · CLEMMONS, NC
This NPI has been deactivated.
The record was deactivated on January 28, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1932748068
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 7, 2020 (0.057377049180328 yrs)
- Last Updated
- Feb 14, 2023
- Deactivated
- Jan 28, 2020
- Licenses
-
LCMHC-A16107 (NC)LCAS-26159 (NC)
Practice Information
- Address
-
231 S TWIN HILL RDCLEMMONS, NC, 270126740Browse NC providers · Browse ZIP 27012
- Phone
- 2526863025
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in CLEMMONS, NC
| Name | Credential | NPI |
|---|---|---|
| MR. JEREMY DOCKERY | CADC, SAP, ICAADC | 1316768286 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.