Individual provider · Type 1 NPI
Iesha Odum, MS, CAADC, LPC
Professional Counselor · Detroit, MI
NPI number
1689008609
Active
Practice location
2925 Russell St
Detroit, MI 48207-4825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401013850 (MI) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Counselor | 101Y00000X | 6401013850 (MI) |
| Mental Health Counselor | 101YM0800X | None listed |
Professional Counselor: Definition to come...
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About NPI 1689008609
Iesha Odum, MS, CAADC, LPC's National Provider Identifier is 1689008609, issued on Aug 27, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Detroit, MI. The record was last updated on May 30, 2024.