Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Eugene Odom, CCS-I, LCAS, LCMHC-A

Individual provider Mental Health Counselor · NPI 1932748068

Kevin Eugene Odom, CCS-I, LCAS, LCMHC-A is a Mental Health Counselor in Clemmons, North Carolina. Licensed in North Carolina. Registered with an NPI since 2020.

Licensed in
NC
In the registry since
2020
Specialties on file
2

Practice location Address checks out

231 S Twin Hill Rd
Clemmons, NC 27012-6740
Phone: (252) 686-3025
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCAS-26159 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence LCMHC-A16107 (NC)

Record details

NPI number1932748068
Entity typeIndividual (Type 1)
GenderMale
Credentials CCS-I , LCAS , LCMHC-A
Sole proprietorNo
NPI enumeratedJanuary 7, 2020
Last updated in NPPESFebruary 14, 2023
Certification dateFebruary 14, 2023

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