MARIAH ODOM

Counselor - Professional

Active Individual
NPI: 1033887328

Practice Address

2620 CENTENARY BLVD UNIT 3
Shreveport, LA 71104

Phone: (903) 330-7064

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No -
Case Manager/Care Coordinator 171M00000X No -
Counselor - Professional 101YP2500X Yes 8872 (LA)

Frequently Asked Questions

NPI 1033887328 is the National Provider Identifier for MARIAH ODOM, a Counselor - Professional provider located in Shreveport, LA. This NPI was enumerated on September 1, 2021.
MARIAH ODOM practices at 2620 CENTENARY BLVD UNIT 3, Shreveport, LA 71104.

Quick Facts

NPI
1033887328
Type
Individual
Enumerated
Sep 1, 2021
Last Updated
Jul 16, 2024

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