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KENNEDY ODERO
NPI 1043917370
Counselor - Addiction (Substance Use Disorder) in Bloomington, CA

Active since February 07, 2023
18612 SANTA ANA AVE, BLOOMINGTON, CA 92316(909) 421-7120(909) 421-7128 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kennedy Odero NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNEDY ODERO (NPI 1043917370) is an individual addiction (substance use disorder) provider in Bloomington, California and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1043917370
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKENNEDY ODERO
Location Address18612 SANTA ANA AVEBloomington, CA 92316-2639
Mailing Address18612 Santa Ana AveBloomington, CA 92316-2639 · (909) 421-7120 · Fax (909) 421-7128
Phone(909) 421-7120
Fax(909) 421-7128
Sole ProprietorNo
Enumeration DateFebruary 7, 2023
NPPES CertifiedFebruary 7, 2023
✔ NPI 1043917370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
18612 SANTA ANA AVE, Bloomington, CA 92316
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGINA LISA SANCHEZ
Counselor (Addiction (Substance Use Disorder))
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120
MR. JAMES B ENTZ MFT
Marriage & Family Therapist
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120
KEIANA DOBSON
Counselor (Addiction (Substance Use Disorder))
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120
SAMANTHA PINEDA
Licensed Vocational Nurse
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (840) 220-9529
NICHOLAS SMITH
Counselor (Addiction (Substance Use Disorder))
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120
TAMMY AHUMADA
Counselor (Addiction (Substance Use Disorder))
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120
LEAH BOYD
Counselor (Addiction (Substance Use Disorder))
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120
TAMMY REYNOLDS
Counselor (Addiction (Substance Use Disorder))
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316
San Bernardino County (909) 421-7120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kennedy Odero's NPI number?

The NPI number for Kennedy Odero is 1043917370. It was assigned to this individual provider in the NPPES registry on February 7, 2023.

Where is Kennedy Odero located?

Kennedy Odero practices at 18612 Santa Ana Ave, Bloomington, CA 92316. The listed phone number is (909) 421-7120.

What is Kennedy Odero's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kennedy Odero was last updated on February 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.