Individual provider · Type 1 NPI
Shivonne A. Odom, LCPC
Professional Counselor · Washington, DC
NPI number
1013206135
Active
Practice location
306 Atlantic St SE, #3
Washington, DC 20032-3098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LC3868 (MD) |
| Counselor | 101Y00000X | PRC14590 (DC) |
Professional Counselor: Definition to come...
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About NPI 1013206135
Shivonne A. Odom, LCPC's National Provider Identifier is 1013206135, issued on Mar 29, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Washington, DC. The record was last updated on Nov 3, 2016.