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MARILYN DIANE ODOM
NPI 1093564973
Counselor - Professional in Long Beach, CA

Active since May 14, 2024
250 E BROADWAY APT 505, LONG BEACH, CA 90802(707) 653-0294 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2024, Jun 10, 2024, Jun 5, 2024 and 1 more (4 updates tracked since 2024).

About Marilyn Diane Odom NPPES

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

MARILYN DIANE ODOM (NPI 1093564973) is an individual professional provider in Long Beach, California, licensed in California (13856) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1093564973
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARILYN DIANE ODOM
Location Address250 E BROADWAY APT 505Long Beach, CA 90802-6265
Mailing Address250 E Broadway Apt 505Long Beach, CA 90802-6265 · (707) 653-0294
Phone(707) 653-0294
Sole ProprietorYes
Enumeration DateMay 14, 2024
Last NPPES UpdateJuly 12, 20244 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
✔ NPI 1093564973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · 13856
250 E BROADWAY APT 505, Long Beach, CA 90802
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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 Marilyn Odom's NPI number?

The NPI number for Marilyn Odom is 1093564973. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Where is Marilyn Odom located?

Marilyn Odom practices at 250 E Broadway Apt 505, Long Beach, CA 90802. The listed phone number is (707) 653-0294.

What is Marilyn Odom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Marilyn Odom was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.