Odom, Amber Nicole

Odom, Amber Nicole is an individual health care provider with primary practice located at 4250 Fowler Ln Ste 204 , Diamond Springs CA 95619-9782. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Odom, Amber Nicole can be contacted via phone (530) 626-3105.

Contact Information

Primary practice address
4250 Fowler Ln Ste 204 Diamond Springs CA 95619-9782
Phone: (530) 626-3105
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1619327947
LBN Legal business name Odom, Amber Nicole
Credentials MSW, ASW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2016
Last updated Oct 24th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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