Individual provider · Type 1 NPI
Mariah Odom
Professional Counselor · Shreveport, LA
NPI number
1033887328
Active
Practice location
2620 Centenary Blvd Unit 3
Shreveport, LA 71104-3356
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Professional Counselor Primary | 101YP2500X | 8872 (LA) |
Professional Counselor: Definition to come...
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About NPI 1033887328
Mariah Odom's National Provider Identifier is 1033887328, issued on Sep 1, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shreveport, LA. The record was last updated on Jul 16, 2024.