| Doctor Name: | STEPHEN ODU |
| NPI Number: | 1023446721 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 5344 |
| Business Practice Address: | 259 Bill France Blvd Ste 200 Daytona Beach, FL - 321141316 |
| Business Phone Number: | 3868681992 |
| Business Fax Number: | |
| Mailing Address: | 3534 Grande Tuscany Way, NEW SMYRNA BEACH |
| State: | FL |
| Postal Code: | 321685342 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/16/2013 |
| NPI Last Update Date: | 10/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 5344 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |