Jacob Odom

Case Manager/Care Coordinator · Wilmington, OH

Individual Active NPI

NPI number 1811880255

Practice location

48 Randolph St
Wilmington, OH 45177-2731
Phone
(937) 481-5631

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NPI record

NPI
1811880255
Entity type
Individual (Type 1)
Enumeration date
June 3, 2025
Last updated
June 3, 2025
Certified
June 3, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —
Mental Health Counselor 101YM0800X — —
Addiction (Substance Use Disorder) Counselor 101YA0400X — —

About Jacob Odom

Jacob Odom is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 48 Randolph St, Wilmington, OH 45177-2731. The NPI number 1811880255 was assigned on June 3, 2025 and the record was last updated on June 3, 2025.

Frequently asked questions

What is the NPI number of Jacob Odom?

The NPI number is 1811880255.

What is the phone number of Jacob Odom?

The phone number listed for the practice location is (937) 481-5631.

Where is Jacob Odom located?

48 Randolph St, Wilmington, OH 45177-2731.

What is the taxonomy code for Jacob Odom?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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