James Calvin Odom
James Calvin Odom is a Mental Health Counselor in Fort Wayne, Indiana. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
6030 E State BlvdFort Wayne, IN 46815-7639
Phone: (260) 245-6374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Social Worker | Taxonomy 104100000X |
Record details
| NPI number | 1487421434 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 11, 2023 |
| Last updated in NPPES | December 11, 2023 |
| Certification date | December 10, 2023 |
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