Kenneth Odom, M.A.

NPI #1598175515 in Canon City, Colorado

Provider Information

NPI Number: 1598175515
Entity Type: Individual
Name: Kenneth Odom, M.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: M.A.
Enumeration Date: Apr 29, 2014
Last Updated: Aug 26, 2016

Practice Location

Address: 3239 INDEPENDENCE RD
City: Canon City
State: Colorado
ZIP Code: 81212-9380
Phone: (719) 275-7650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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