Individual provider · Type 1 NPI

Jazzmine Madison Moody

Professional Counselor · Cape Girardeau, MO

NPI number 1073391835 Active

Practice location

2909 Independence St
Cape Girardeau, MO 63703-5044

Call (573) 803-1402 Map

Fax (573) 803-1405

Mailing address

20 S Sprigg St
Cape Girardeau, MO 63703-6212

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1073391835

Jazzmine Madison Moody's National Provider Identifier is 1073391835, issued on Sep 21, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cape Girardeau, MO. The record was last updated on Mar 3, 2026.