MEDICARE: ESTHER ODAMAH M.S., PH.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor
3	103TB0200X	Cognitive & Behavioral Psychologist
4	103TC1900X	Counseling Psychologist
5	103TA0400X	Addiction (Substance Use Disorder) Psychologist

General Provider Information

NPI Number	:	1043796618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTHER ODAMAH M.S., PH.D

Provider Business Mailing Address
First Line	:	503 EL DORADO BLVD
Second Line	:	APT 813
City	:	WEBSTER
State	:	TX
Zip	:	77598-2263
Country	:	US
Telephone Number	:	832-284-2441
Fax Number	:

Provider Business Practice Location Address
First Line	:	2646 S LOOP W STE 106
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2676
Country	:	US
Telephone Number	:	713-661-0300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2018
Last Update Date	:	08/20/2021

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