Odoms, Ta'Shema Nicole
Odoms, Ta'Shema Nicole is an sole proprietor health care provider with primary practice located at 469 Buckland Rd Ste 104 , South Windsor CT 06074-3737. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Odoms, Ta'Shema Nicole can be contacted via phone (860) 878-1696.Contact Information
Primary practice address
469 Buckland Rd Ste 104
South Windsor CT 06074-3737
Phone: (860) 878-1696
Fax: (860) 432-4540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3332 | Connecticut |
Profile Details
| NPI number | 1821552084 |
|---|---|
| LBN Legal business name | Odoms, Ta'Shema Nicole |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2019 |
| Last updated | Jan 22nd, 2019 - about 5 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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