National Provider Identifier

Deborah L Odom, BS

Deborah L Odom, BS is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Warsaw, NY and a listed phone number of (585) 786-8133.

NPI 1487841748Warsaw, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1487841748
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
October 01, 2007
Last Updated
October 01, 2007

Practice Location

  • 422 N Main St
  • Warsaw, NY 14569-1023

Phone: (585) 786-8133

Mailing Address

  • PO Box 204
  • Pavilion, NY 14525-0204

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1487841748
Entity Type
Individual
Last Name
Odom
First Name
Deborah
Middle Name
L
Credential
BS
Mailing Street Address
PO Box 204
Mailing City
Pavilion
Mailing State
NY
Mailing ZIP Code
14525-0204
Mailing Country
US
Mailing Phone
(585) 584-3925
Practice Street Address
422 N Main St
Practice City
Warsaw
Practice State
NY
Practice ZIP Code
14569-1023
Practice Country
US
Practice Phone
(585) 786-8133
Practice Fax
(585) 786-9928
Enumeration Date
October 01, 2007
Last Updated
October 01, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)
Other Identifiers
00740423 (NY)