person
Ms. Jody Petzoldt, MA
Professional Counselor in Cape Girardeau, Missouri
NPI 1689941528

Jody Petzoldt is a Professional Counselor based in Cape Girardeau, MO and is specialized in Professional. Jody Petzoldt practices in Cape Girardeau, MO and has the professional credentials of MA. The NPI Number for Jody Petzoldt is 1689941528 and holds a License No. 2011036260 (Missouri).

The current practice location address for Jody Petzoldt is 340 S Broadview St, Cape Girardeau, MO and can be reached out via phone at 573-332-0416 and via fax at 573-335-2698.

Location: 340 S Broadview St, Cape Girardeau, MO, 63703-5703
person
Provider Profile Details
NPI Number
1689941528
Provider Name
Jody Petzoldt
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
340 S Broadview St, Cape Girardeau, MO, 63703-5703
Phone Number
573-332-0416
Fax Number
573-335-2698
Provider Enumeration Date
11/21/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
340 S Broadview St
City
State
Zip
63703-5703
Phone Number
573-332-0416
Fax Number
573-335-2698
person
Provider Business Mailing Address Details
Address
340 S Broadview St
City
State
Zip
63703-5703
Phone Number
573-332-0416
Fax Number
573-335-2698
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2011036260 (Missouri)
Definition
Definition to come...
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